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1992078042
GLEN ANDREW CALVIN
EUREKA, CA
NPI
1992078042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-02-21
Last Update Date
2012-02-21
Business Address
Mr. GLEN ANDREW CALVIN
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
Mr. GLEN ANDREW CALVIN
1463 CHICKADEE CT
MCKINLEYVILLE, CA 95519-4707
Phone number: 707-825-0210
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