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1538349501
GLENN JUSTO VIVES
MARTINEZ, CA
NPI
1538349501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A74838)
Enumeration Date
2007-11-07
Last Update Date
2022-01-20
Business Address
GLENN JUSTO VIVES
2500 ALHAMBRA AVE
MARTINEZ, CA 94553-3156
Phone number: 925-370-5110
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Mailing Address
GLENN JUSTO VIVES
50 DOUGLAS DR SUITE 391
MARTINEZ, CA 94553-4098
Phone number: 925-957-5409
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