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1225756901
NICOLLETTE BALASSANIAN
SAN FERNANDO, CA
NPI
1225756901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-08-18
Last Update Date
2022-08-25
Business Address
NICOLLETTE BALASSANIAN
919 1ST ST
SAN FERNANDO, CA 91340-2957
Phone number: 818-256-1124
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Mailing Address
NICOLLETTE BALASSANIAN
3824 4TH AVE
GLENDALE, CA 91214-2317
Phone number: 818-399-8507
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