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1649717539
MARY BALLESTEROS
PASADENA, CA
NPI
1649717539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA vn 248878)
Enumeration Date
2017-01-30
Last Update Date
2017-01-30
Business Address
-- MARY BALLESTEROS LVN
1855 N FAIR OAKS AVE STE 200
PASADENA, CA 91103-1620
Phone number: 626-398-6300
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Mailing Address
-- MARY BALLESTEROS LVN
455 W MONTANA ST
PASADENA, CA 91103-1327
Phone number: 626-398-6300
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