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1861439051
GLEN D MCCRELESS
SAN ANTONIO, TX
NPI
1861439051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX F9798)
Enumeration Date
2006-05-31
Last Update Date
2010-11-08
Business Address
-- GLEN D MCCRELESS
4037 E SOUTHCROSS BLVD
SAN ANTONIO, TX 78222-3636
Phone number: 210-337-4921
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Mailing Address
-- GLEN D MCCRELESS
4037 E SOUTHCROSS BLVD
SAN ANTONIO, TX 78222-3636
Phone number: 210-337-4921
Copy
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