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1356947238
DAVID TAMAZOVICH TSITSUASHVILI
ENCINO, CA
NPI
1356947238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
Enumeration Date
2020-12-07
Last Update Date
2021-11-30
Business Address
DAVID TAMAZOVICH TSITSUASHVILI MS
16500 VENTURA BLVD STE 414
ENCINO, CA 91436-5050
Phone number: 818-788-1003
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Mailing Address
DAVID TAMAZOVICH TSITSUASHVILI MS
824 S WOOSTER ST APT 104
LOS ANGELES, CA 90035-1736
Phone number: 818-687-6042
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