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1124148978
GLENN K TANAKA
SAN DIEGO, CA
NPI
1124148978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: CA DC13888)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
Dr. GLENN K TANAKA D.C.
3707 CONVOY ST
SAN DIEGO, CA 92111-3754
Phone number: 858-560-8910
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Mailing Address
Dr. GLENN K TANAKA D.C.
3707 CONVOY ST
SAN DIEGO, CA 92111-3754
Phone number:
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