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1194967844
GLENN RICHARD WATTERSON
JACKSON, MI
NPI
1194967844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MI 2901009803)
Enumeration Date
2009-03-26
Last Update Date
2009-03-26
Business Address
-- GLENN RICHARD WATTERSON DDS
306 W WASHINGTON AVE SUITE 204
JACKSON, MI 49201-2169
Phone number: 517-782-1467
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Mailing Address
-- GLENN RICHARD WATTERSON DDS
306 W WASHINGTON AVE SUITE 204
JACKSON, MI 49201-2169
Phone number: 517-782-1467
Copy
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