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1285400580
JORDDY BALANDRAN
SAN DIEGO, CA
NPI
1285400580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2023-11-28
Last Update Date
2023-11-28
Business Address
JORDDY BALANDRAN
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
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Mailing Address
JORDDY BALANDRAN
712 DELTA ST
LAS VEGAS, NV 89101-2718
Phone number: 702-812-0598
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