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1073658787
WONDA JEAN GLASSER
CANON CITY, CO
NPI
1073658787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: CO 513342)
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
-- WONDA JEAN GLASSER c.n.a.
510 N 19TH ST LOT 48
CANON CITY, CO 81212-2467
Phone number: 719-252-6013
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Mailing Address
-- WONDA JEAN GLASSER c.n.a.
1460 RED CANYON RD P.O. BOX 83
CANON CITY, CO 81212-8828
Phone number: 719-252-6013
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