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1285773895
ELISA YCOCO BALLESTEROS
GREEN VALLEY, AZ
NPI
1285773895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ SLPL5252)
Enumeration Date
2007-02-06
Last Update Date
2015-05-28
Business Address
-- ELISA YCOCO BALLESTEROS BS SLP
1991 E WHITEHOUSE CANYON RD
GREEN VALLEY, AZ 85614-0522
Phone number: 520-625-4581
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Mailing Address
-- ELISA YCOCO BALLESTEROS BS SLP
PO BOX 547
GREEN VALLEY, AZ 85622-0547
Phone number:
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