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1962077818
GLENN AURELLANO GANIR
COSTA MESA, CA
NPI
1962077818
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA RN530380)
Enumeration Date
2021-05-24
Last Update Date
2021-05-24
Business Address
Mr. GLENN AURELLANO GANIR RN
301 VICTORIA ST
COSTA MESA, CA 92627-7131
Phone number: 949-642-2734
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Mailing Address
Mr. GLENN AURELLANO GANIR RN
301 VICTORIA ST
COSTA MESA, CA 92627-7131
Phone number: 949-642-2734
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