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Individual
GLENN KAZUO MORINISHI
Active
Individual
GLENN KAZUO MORINISHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G65039
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750436473
NPI
CA
Enumeration date
01/25/2007
Last updated
06/24/2019
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