GUEORGUI KLISSOUROV

ASHBURN, VA
NPI1073208070
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies251S00000X Community/Behavioral Health
Enumeration Date2023-04-06
Last Update Date2023-07-27
Business Address
GUEORGUI KLISSOUROV PHD
20116 ASHBROOK PL
ASHBURN, VA 20147-5086
Phone number: 540-630-1211
Mailing Address
GUEORGUI KLISSOUROV PHD
20116 ASHBROOK PL
ASHBURN, VA 20147-5086
Phone number: 540-630-1211
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