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1548230071
KENNETH H BALLENTINE
SAN JOSE, CA
NPI
1548230071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 6863T)
Enumeration Date
2006-01-26
Last Update Date
2010-02-03
Business Address
Dr. KENNETH H BALLENTINE O.D.
5275 PROSPECT RD
SAN JOSE, CA 95129-5031
Phone number: 408-255-0576
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Mailing Address
Dr. KENNETH H BALLENTINE O.D.
5275 PROSPECT RD
SAN JOSE, CA 95129-5031
Phone number: 408-255-0576
Copy
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