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1619174893
PETER G GEVANTHOR
SAN DIEGO, CA
NPI
1619174893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA SP6131)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
-- PETER G GEVANTHOR SP
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
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Mailing Address
-- PETER G GEVANTHOR SP
393 E WALNUT ST 3RD FLOOR - PHR SYSTEMS
PASADENA, CA 91188-0001
Phone number: 626-405-7914
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