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1013180355
IRVING LEE GISLASON
GARDEN GROVE, CA
NPI
1013180355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology
(Licence: CA A24010)
Enumeration Date
2008-04-08
Last Update Date
2021-05-12
Business Address
Dr. IRVING LEE GISLASON md
12443 LEWIS ST. STE. 103
GARDEN GROVE, CA 92840-4650
Phone number: 714-971-7652
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Mailing Address
Dr. IRVING LEE GISLASON md
7404 E. SADDLEHILL TRL
ORANGE, CA 92869-2310
Phone number: 714-971-7652
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