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1285655738
GLENN PAUL
TAMPA, FL
NPI
1285655738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 001022)
Enumeration Date
2006-07-21
Last Update Date
2023-12-11
Business Address
GLENN PAUL RPA
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number: 813-745-7365
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Mailing Address
GLENN PAUL RPA
PO BOX 198441 MBC-MMG
ATLANTA, GA 30384-8441
Phone number: 813-745-7365
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