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1174550925
JORGE MANUEL BALLESTEROS
ORLANDO, FL
NPI
1174550925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NM R56975)
Enumeration Date
2006-06-27
Last Update Date
2022-05-26
Business Address
JORGE MANUEL BALLESTEROS CRNA
3714 S SUMMERLIN AVE
ORLANDO, FL 32806-6902
Phone number: 812-240-0977
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Mailing Address
JORGE MANUEL BALLESTEROS CRNA
3714 S SUMMERLIN AVE
ORLANDO, FL 32806-6902
Phone number: 812-240-0977
Copy
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