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1679090781
MARNI BALLESTEROS
FAIRFIELD, CA
NPI
1679090781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 660254)
Enumeration Date
2017-08-29
Last Update Date
2017-08-29
Business Address
MARNI BALLESTEROS
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-639-4675
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Mailing Address
MARNI BALLESTEROS
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number:
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