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1962701227
DMITRIY GEN
GLENDALE, CA
NPI
1962701227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A11253)
Enumeration Date
2011-03-24
Last Update Date
2011-06-30
Business Address
-- DMITRIY GEN D.O.
1560 E CHEVY CHASE DR
GLENDALE, CA 91206-4197
Phone number: 818-246-5900
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Mailing Address
-- DMITRIY GEN D.O.
1560 E CHEVY CHASE DR
GLENDALE, CA 91206-4197
Phone number: 818-246-5900
Copy
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