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Organization
GLENN S CLOUD, DC
Active
Organization
GLENN S CLOUD, DC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN STANLEY CLOUD DC CHIROPRACTOR (OWNER CHIROPRACTOR)
(562) 691-2225
Entity
Organization
Contact information
Practice address
417 W LA HABRA BLVD, LA HABRA, CA 90631
(562) 691-2225
(562) 691-9725
Mailing address
417 W LA HABRA BLVD, LA HABRA, CA 90631
(562) 691-2225
(562) 691-9725
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14340
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0143400
BLUE CROSS
CA
Enumeration date
01/08/2007
Last updated
01/14/2008
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