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1174561765
GLEN Y KISHI
PHOENIX, AZ
NPI
1174561765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: AZ 18565)
Enumeration Date
2006-06-03
Last Update Date
2015-10-13
Business Address
Dr. GLEN Y KISHI MD
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
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Mailing Address
Dr. GLEN Y KISHI MD
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1200
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