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1245668276
PHILLIP GLENN
BRONX, NY
NPI
1245668276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 677492)
Enumeration Date
2013-10-30
Last Update Date
2013-10-30
Business Address
-- PHILLIP GLENN
1122 E 216TH ST
BRONX, NY 10469-2302
Phone number: 718-874-9058
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Mailing Address
-- PHILLIP GLENN
1122 E 216TH ST
BRONX, NY 10469-2302
Phone number:
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