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1205012127
SAMUEL C BALLON MD FACOG FACS FRCSC A PROF CORPORATION
SAN JOSE, CA
NPI
1205012127
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Entity Type
Organization
Authorized Contact
SAMUEL C BALLON
CEO
408-356-3725
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA G21751)
Enumeration Date
2008-01-10
Last Update Date
2015-05-12
Business Address
SAMUEL C BALLON MD FACOG FACS FRCSC A PROF CORPORATION
2504 SAMARITAN DR STE 20
SAN JOSE, CA 95124-4005
Phone number: 408-356-3725
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Mailing Address
SAMUEL C BALLON MD FACOG FACS FRCSC A PROF CORPORATION
2504 SAMARITAN DR STE 20
SAN JOSE, CA 95124-4005
Phone number: 408-356-3725
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