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1659326783
LARRY CLAY BALLINGER
SAN DIEGO, CA
NPI
1659326783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: CA E4626)
Enumeration Date
2006-05-24
Last Update Date
2009-06-24
Business Address
-- LARRY CLAY BALLINGER DPM
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130-3318
Phone number: 858-554-9300
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Mailing Address
-- LARRY CLAY BALLINGER DPM
FILE# 54433
LOS ANGELES, CA 90074-0001
Phone number:
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