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Individual

GLENN KUNIMURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
101 AUPUNI STREET, SUITE 305, HILO, HI 96720
(808) 935-6319
(808) 961-0198
Mailing address
101 AUPUNI STREET, SUITE 305, HILO, HI 96720
(808) 935-6319
(808) 961-0198

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
140
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04589-8
HMSA PROVIDER NUMBER
HI
Enumeration date
10/04/2006
Last updated
07/08/2007
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