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1073102760
GRACE GLASS
LILLINGTON, NC
NPI
1073102760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-11587)
Enumeration Date
2021-01-16
Last Update Date
2024-12-24
Business Address
GRACE GLASS
4350 US 421 S
LILLINGTON, NC 27546-6760
Phone number: 910-893-1210
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Mailing Address
GRACE GLASS
2231 MARQUEE LN
FUQUAY VARINA, NC 27526-3208
Phone number: 678-826-6103
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