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1215629993
GLENN ROBERT ANDERSON
LAS VEGAS, NV
NPI
1215629993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
GLENN ROBERT ANDERSON BS
9811 W CHARLESTON BLVD STE 2-2641
LAS VEGAS, NV 89117-7528
Phone number: 855-864-4322
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Mailing Address
GLENN ROBERT ANDERSON BS
740 LAKE AVE
HANCOCK, MI 49930-1914
Phone number: 906-281-0273
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