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Licenses
Medical Practice
Florida
42954
ERNESTO A BALLESTEROS
Medical Practice at Martin Ave, South Lake Tahoe, CA
License number
Florida 42954
Issued Date
May 27, 2010
Effective Date
Sep 26, 2014
Expiration Date
Aug 31, 2012
Category
Health Care
Type
Clinical Laboratory Personnel
Address
Address
1085 Martin Ave, South Lake Tahoe, CA 96150
Phone
(702) 588-0817
Medical Practice licenses in Florida
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