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1235131350
CLARENCE BUREN GLOVER
GRIFFIN, GA
NPI
1235131350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 002296)
Enumeration Date
2005-08-10
Last Update Date
2007-07-08
Business Address
CLARENCE BUREN GLOVER PAC
708 S 8TH ST
GRIFFIN, GA 30224-4827
Phone number: 770-228-5402
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Mailing Address
CLARENCE BUREN GLOVER PAC
708 S 8TH ST
GRIFFIN, GA 30224-4827
Phone number: 770-228-5402
Copy
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