Provider Information for 1740400787
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Mrs. GLORIA ANNE CULLINANE M.A., M.F.T.,
Sex: Female
NPI: 1740400787
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1740400787 | ||||||||
| Enumeration Date | 2007-05-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 27322 CALLE ARROYO SUITE B SAN JUAN CAPISTRANO, CA 92675-6760 United States Phone: 949-489-2425 | Fax:949-489-9064 | ||||||||
| Primary Practice Address | 27322 CALLE ARROYO SUITE B SAN JUAN CAPISTRANO, CA 92675-6760 United States Phone: 949-489-2425 | Fax:949-489-9064 | ||||||||
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