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1689054066
JONATHAN BALLENA FERNANDEZ
OCEANSIDE, CA
NPI
1689054066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 287436)
Enumeration Date
2015-06-01
Last Update Date
2015-06-01
Business Address
-- JONATHAN BALLENA FERNANDEZ
1738 S TREMONT ST
OCEANSIDE, CA 92054-5309
Phone number: 760-439-2800
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Mailing Address
-- JONATHAN BALLENA FERNANDEZ
1738 S TREMONT ST
OCEANSIDE, CA 92054-5309
Phone number:
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