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Individual

GLENN KAPRIELIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
4649 PLANZ RD, BAKERSFIELD, CA 93309-5900
(661) 833-4040
Mailing address
4649 PLANZ RD, BAKERSFIELD, CA 93309-5900
(661) 833-4040

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5707
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0057070
CA
Enumeration date
08/14/2006
Last updated
07/08/2007
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