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1235272410
RICHARD BALLESTEROS
VICTORVILLE, CA
NPI
1235272410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 18427705)
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
-- RICHARD BALLESTEROS
12625 HESPERIA RD
VICTORVILLE, CA 92395-7720
Phone number: 760-955-1777
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Mailing Address
-- RICHARD BALLESTEROS
12625 HESPERIA RD
VICTORVILLE, CA 92395-7720
Phone number: 760-955-1777
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