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1043319676
JOHN KENNETH GLENN
HILLSBORO, OR
NPI
1043319676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA PA10003835)
Enumeration Date
2006-09-21
Last Update Date
2007-07-08
Business Address
-- JOHN KENNETH GLENN PA-C
2460 NE GRIFFIN OAKS ST SUITE D1000
HILLSBORO, OR 97124-2672
Phone number: 360-213-1301
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Mailing Address
-- JOHN KENNETH GLENN PA-C
1409 FRANKLIN ST SUITE 103
VANCOUVER, WA 98660-2899
Phone number: 360-213-1301
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