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1235271016
GLEN E WALDNER
MONTGOMERY, AL
NPI
1235271016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: FL por151)
Additional Taxonomies
174400000X Specialist
(Licence: AL 183)
Enumeration Date
2007-02-12
Last Update Date
2008-02-04
Business Address
-- GLEN E WALDNER CPO LPO
2865 ZELDA ROAD
MONTGOMERY, AL 36106
Phone number: 334-395-8118
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Mailing Address
-- GLEN E WALDNER CPO LPO
126 SYCAMORE DRIVE
PRATTVILLE, AL 36066
Phone number: 334-730-4835
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