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1083669469
GLENN MASAO TAIRA
WAIPAHU, HI
NPI
1083669469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: HI 1713)
Enumeration Date
2006-05-23
Last Update Date
2007-07-08
Business Address
Mr. GLENN MASAO TAIRA D.P.T.
94-1480 MOANIANI ST
WAIPAHU, HI 96797-4632
Phone number: 808-432-3186
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Mailing Address
Mr. GLENN MASAO TAIRA D.P.T.
98-418 KAONOHI ST #1
AIEA, HI 96701
Phone number: 808-226-2969
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