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1275978413
SUSAN GLENNON
CHANTILLY, VA
NPI
1275978413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MA 147439)
Enumeration Date
2013-05-01
Last Update Date
2013-05-01
Business Address
-- SUSAN GLENNON NP-C
14121 PARKE LONG CT SUITE 200 & 201
CHANTILLY, VA 20151-1647
Phone number: 571-512-7287
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Mailing Address
-- SUSAN GLENNON NP-C
14121 SULLYFIELD CIRCLE SUITE 201
CHANTILLY, VA 20151-1647
Phone number: 571-512-7287
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