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1295749802
GLENN THOMAS AULT
LOS ANGELES, CA
NPI
1295749802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208C00000X Colon & Rectal Surgery
(Licence: CA A54651)
Enumeration Date
2006-07-28
Last Update Date
2023-11-27
Business Address
GLENN THOMAS AULT M.D.
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Phone number: 323-865-3690
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Mailing Address
GLENN THOMAS AULT M.D.
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-865-3690
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