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1497083133
DIMITRY GELLER
HUNTINGTON PARK, CA
NPI
1497083133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-11-18
Last Update Date
2009-11-18
Business Address
-- DIMITRY GELLER
2680 SATURN AVE STE 180
HUNTINGTON PARK, CA 90255-4568
Phone number: 323-589-5880
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Mailing Address
-- DIMITRY GELLER
8160 MANITOBA ST APT 111
PLAYA DEL REY, CA 90293-8639
Phone number: 323-589-5880
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