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Gladwyne Bales
NPI 1740518711 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1324 Renison Ln
Lincoln, CA 95648 - Phone
- (916) 832-4660
- Fax
- (916) 543-4946
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California