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1073854519
GILLIAN DVORAK
SAN DIEGO, CA
NPI
1073854519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 16737)
Enumeration Date
2013-03-07
Last Update Date
2013-03-07
Business Address
-- GILLIAN DVORAK CCC-SLP
9606 TIERRA GRANDE ST #107,
SAN DIEGO, CA 92126-6501
Phone number: 858-695-9415
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Mailing Address
-- GILLIAN DVORAK CCC-SLP
2995 RANCH VIEW CT
CHULA VISTA, CA 91914-5319
Phone number:
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