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1376969113
JUSTIN BALLEZA
SAN DIEGO, CA
NPI
1376969113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2014-03-17
Last Update Date
2014-03-17
Business Address
-- JUSTIN BALLEZA
8721 BELFAST CIR
SAN DIEGO, CA 92126-3603
Phone number: 510-676-0726
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Mailing Address
-- JUSTIN BALLEZA
8721 BELFAST CIR
SAN DIEGO, CA 92126-3603
Phone number: 510-676-0726
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