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1548495997
KYLA BALLESTEROS
MESA, AZ
NPI
1548495997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: AZ 4886)
Enumeration Date
2009-05-28
Last Update Date
2014-12-02
Business Address
-- KYLA BALLESTEROS PA-C
1250 S CLEARVIEW AVE SUITE 100
MESA, AZ 85209-3378
Phone number: 480-988-9108
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Mailing Address
-- KYLA BALLESTEROS PA-C
3611 N CAMPBELL AVE
TUCSON, AZ 85719-1534
Phone number: 520-881-0636
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