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1548350978
SAMSON BALLESTEROS
PARMA, OH
NPI
1548350978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OH 35053718)
Enumeration Date
2006-10-14
Last Update Date
2018-04-04
Business Address
SAMSON BALLESTEROS M.D.
5850 RIDGE RD
PARMA, OH 44129-3166
Phone number: 440-530-5117
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Mailing Address
SAMSON BALLESTEROS M.D.
PO BOX 770502
LAKEWOOD, OH 44107-0027
Phone number: 440-930-0609
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