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1205005915
SANDRA M BALLESTER
DAVENPORT, FL
NPI
1205005915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY7428)
Enumeration Date
2008-02-27
Last Update Date
2015-03-17
Business Address
-- SANDRA M BALLESTER PSY. D
602 COVENTRY RD
DAVENPORT, FL 33897-3899
Phone number: 863-424-0194
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Mailing Address
-- SANDRA M BALLESTER PSY. D
PO BOX 135157
CLERMONT, FL 34713-5157
Phone number: 863-424-0194
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