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1376671743
GLENN T ROYES
PETALUMA, CA
NPI
1376671743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
-- GLENN T ROYES HSC
599 TOMALES RD
PETALUMA, CA 94952-5002
Phone number: 707-765-7491
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Mailing Address
-- GLENN T ROYES HSC
599 TOMALES RD
PETALUMA, CA 94952
Phone number: 707-765-7491
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