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1033493598
DIMITRI GEORGE PERIVOLIOTIS
SAN DIEGO, CA
NPI
1033493598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: PA PS017075)
Enumeration Date
2011-10-03
Last Update Date
2011-10-06
Business Address
Dr. DIMITRI GEORGE PERIVOLIOTIS Ph.D.
3350 LA JOLLA VILLAGE DR 9116B
SAN DIEGO, CA 92161-0002
Phone number: 858-552-8585
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Mailing Address
Dr. DIMITRI GEORGE PERIVOLIOTIS Ph.D.
3350 LA JOLLA VILLAGE DR 9116B
SAN DIEGO, CA 92161-0002
Phone number: 858-552-8585
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