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1306105507
DONALD BALLESTEROS
CLIFTON, NJ
NPI
1306105507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01048800)
Enumeration Date
2012-05-08
Last Update Date
2012-05-08
Business Address
-- DONALD BALLESTEROS PT
1070 CLIFTON AVE
CLIFTON, NJ 07013-3619
Phone number: 973-246-6565
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Mailing Address
-- DONALD BALLESTEROS PT
1255 ANDERSON AVE UNIT 10
FORT LEE, NJ 07024-1778
Phone number: 917-495-7597
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