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Individual

KYLE GLODOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(415) 518-7549
Mailing address
1563 CHESTER AVE, ARCATA, CA 95521-6825
(415) 518-7549

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95171836
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95171836
CA

Other

Enumeration date
02/19/2021
Last updated
10/01/2024
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