Provider Information for 1841739604
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NELLY GREGORIAN-DELEON LMFT
Sex: Female
NPI: 1841739604
Last Updated: 2017-02-13
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1841739604 | ||||||||
| Enumeration Date | 2017-02-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 504195 SAN DIEGO, CA 92150-4195 United States Phone: 760-522-7541 | Fax: | ||||||||
| Primary Practice Address | 2915 SUNSET HLS ESCONDIDO, CA 92025-7854 United States Phone: 760-522-7541 | Fax: | ||||||||
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