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1467006718
KYLE DEAN BALLENTINE
ARCADIA, CA
NPI
1467006718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 114496)
Enumeration Date
2019-07-25
Last Update Date
2019-07-25
Business Address
KYLE DEAN BALLENTINE
41 E FOOTHILL BLVD STE 102
ARCADIA, CA 91006-2361
Phone number: 626-701-4249
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Mailing Address
KYLE DEAN BALLENTINE
41 E FOOTHILL BLVD STE 102
ARCADIA, CA 91006-2361
Phone number: 626-701-4249
Copy
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