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1285451807
FERNANDO BALLESTEROS
SYLMAR, CA
NPI
1285451807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-09-24
Last Update Date
2024-09-24
Business Address
FERNANDO BALLESTEROS
14139 BUCHER AVE
SYLMAR, CA 91342-1442
Phone number: 310-221-6336
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Mailing Address
FERNANDO BALLESTEROS
14139 BUCHER AVE
SYLMAR, CA 91342-1442
Phone number: 310-221-6336
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