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1124649355
YVETTE BALLESTEROS-LARA
CULVER CITY, CA
NPI
1124649355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2020-04-28
Last Update Date
2020-04-28
Business Address
YVETTE BALLESTEROS-LARA
9808 VENICE BLVD
CULVER CITY, CA 90232-2732
Phone number: 310-945-3350
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Mailing Address
YVETTE BALLESTEROS-LARA
9808 VENICE BLVD
CULVER CITY, CA 90232-2732
Phone number: 310-945-3350
Copy
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