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1316900707
PATRICK DEAN GLENN
WAKEFIELD, RI
NPI
1316900707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: RI PT01566)
Enumeration Date
2006-04-08
Last Update Date
2007-07-08
Business Address
Mr. PATRICK DEAN GLENN PT
1 HIGH ST
WAKEFIELD, RI 02879-3103
Phone number: 401-789-1422
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Mailing Address
Mr. PATRICK DEAN GLENN PT
103 BROWNS FARM DR
KINGSTON, RI 02881-1739
Phone number: 401-789-0543
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