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1407173388
GLEN MICHAEL ENRIQUEZ CAPULONG
BAKERSFIELD, CA
NPI
1407173388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A125650)
Enumeration Date
2010-04-30
Last Update Date
2021-12-08
Business Address
-- GLEN MICHAEL ENRIQUEZ CAPULONG MD
8800 MING AVE
BAKERSFIELD, CA 93311-1308
Phone number: 661-664-6795
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Mailing Address
-- GLEN MICHAEL ENRIQUEZ CAPULONG MD
8800 MING AVE
BAKERSFIELD, CA 93311-1308
Phone number: 661-664-6795
Copy
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