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1598318362
SONIA MIRELLA BALLESTEROS
FOREST HILLS, NY
NPI
1598318362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
Additional Taxonomies
174400000X Specialist
(Licence: NY 178373021)
Enumeration Date
2019-07-22
Last Update Date
2019-07-22
Business Address
SONIA MIRELLA BALLESTEROS
10818 QUEENS BLVD
FOREST HILLS, NY 11375-4748
Phone number: 646-599-3486
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Mailing Address
SONIA MIRELLA BALLESTEROS
2324 MERMAID AVE
BROOKLYN, NY 11224-2208
Phone number: 917-442-2482
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