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1780084681
MARICEL BALLARES
WAIPAHU, HI
NPI
1780084681
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Former Name
N/A N/A N/A
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
253J00000X Foster Care Agency
(Licence: HI HCBS 09-2434)
Enumeration Date
2014-08-27
Last Update Date
2016-10-27
Business Address
-- MARICEL BALLARES
94-877 LUMIIKI ST
WAIPAHU, HI 96797-3933
Phone number: 808-729-3216
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Mailing Address
-- MARICEL BALLARES
94-877 LUMIIKI ST
WAIPAHU, HI 96797-3933
Phone number: 808-729-3216
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