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1487016168
MARK BALLEZA
SAN LEANDRO, CA
NPI
1487016168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2016-03-22
Last Update Date
2023-06-28
Business Address
MARK BALLEZA
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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Mailing Address
MARK BALLEZA
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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