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1194574699
JORGE BALLESTEROS
WOODLAND HILLS, CA
NPI
1194574699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TE1100X Psychologist, Exercise & Sports
(Licence: CA 34652)
Enumeration Date
2024-05-16
Last Update Date
2024-05-16
Business Address
JORGE BALLESTEROS Ph.D.
21781 VENTURA BLVD
WOODLAND HILLS, CA 91364-1835
Phone number: 818-270-8354
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Mailing Address
JORGE BALLESTEROS Ph.D.
21781 VENTURA BLVD
WOODLAND HILLS, CA 91364-1835
Phone number: 818-270-8354
Copy
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