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1104074160
JACOB GISIS
ENCINO, CA
NPI
1104074160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY30023)
Enumeration Date
2008-09-03
Last Update Date
2018-04-23
Business Address
JACOB GISIS
16055 VENTURA BLVD STE 724
ENCINO, CA 91436-2610
Phone number: 323-807-6381
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Mailing Address
JACOB GISIS
16055 VENTURA BLVD STE 724
ENCINO, CA 91436-2610
Phone number: 323-807-6381
Copy
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