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1396866042
JOSE LUIS BALLESTEROS FLORES
COMMERCE, CA
NPI
1396866042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC7002)
Enumeration Date
2007-04-02
Last Update Date
2007-07-08
Business Address
-- JOSE LUIS BALLESTEROS FLORES MFT
1000 GOODRICH BLVD
COMMERCE, CA 90022-5103
Phone number: 323-832-9795
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Mailing Address
-- JOSE LUIS BALLESTEROS FLORES MFT
16712 ADDISON ST
ENCINO, CA 91436-1056
Phone number:
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