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1235182593
GERALD A. GLAVAZ
LOMA LINDA, CA
NPI
1235182593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA12488)
Enumeration Date
2006-05-18
Last Update Date
2007-07-08
Business Address
-- GERALD A. GLAVAZ P.A.
25455 BARTON RD SUITE 106B
LOMA LINDA, CA 92354-3128
Phone number: 909-558-6226
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Mailing Address
-- GERALD A. GLAVAZ P.A.
FILE NUMBER 54701
LOS ANGELES, CA 90074-0001
Phone number: 909-558-3111
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