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1699407445
SHANNON BALLESTEROS
COVINA, CA
NPI
1699407445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
Enumeration Date
2022-06-29
Last Update Date
2022-06-29
Business Address
SHANNON BALLESTEROS
414 E SAN BERNARDINO RD
COVINA, CA 91723-1704
Phone number: 626-367-3206
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Mailing Address
SHANNON BALLESTEROS
414 E SAN BERNARDINO RD
COVINA, CA 91723-1704
Phone number:
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