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1104183458
SANDRA HERNANDEZ BALLESTEROS
LAKE ELSINORE, CA
NPI
1104183458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2012-04-11
Last Update Date
2016-09-30
Business Address
-- SANDRA HERNANDEZ BALLESTEROS
31946 MISSION TRL STE B
LAKE ELSINORE, CA 92530-4539
Phone number: 951-471-4300
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Mailing Address
-- SANDRA HERNANDEZ BALLESTEROS
31946 MISSION TRL STE B
LAKE ELSINORE, CA 92530-4539
Phone number: 951-471-4300
Copy
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