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1679544381
GLENN RIEGO PUERTOLLANO
STANTON, KY
NPI
1679544381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: KY 38924)
Enumeration Date
2006-01-30
Last Update Date
2007-07-08
Business Address
-- GLENN RIEGO PUERTOLLANO MD
321C EAST COLLEGE AVE RED RIVER HEALTH CARE
STANTON, KY 40380
Phone number: 606-663-9797
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Mailing Address
-- GLENN RIEGO PUERTOLLANO MD
PO BOX 2748 RED RIVER HEALTH CARE
PIKEVILLE, KY 41502-2748
Phone number: 606-432-3221
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