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1003545617
GLEN EDWARD HIGGINBOTHAM
CHILLICOTHE, OH
NPI
1003545617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OH 012564)
Enumeration Date
2022-06-08
Last Update Date
2022-06-08
Business Address
GLEN EDWARD HIGGINBOTHAM MA
17273 STATE ROUTE 104
CHILLICOTHE, OH 45601-9718
Phone number: 740-993-1210
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Mailing Address
GLEN EDWARD HIGGINBOTHAM MA
17273 STATE ROUTE 104
CHILLICOTHE, OH 45601-9718
Phone number: 740-993-1210
Copy
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