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1356679609
GEORGIA P GLAZE
ELKHART, IN
NPI
1356679609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: IN 33002586A)
Enumeration Date
2009-11-25
Last Update Date
2009-11-25
Business Address
GEORGIA P GLAZE LSW
1400 HUDSON ST
ELKHART, IN 46516-2023
Phone number: 574-522-0104
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Mailing Address
GEORGIA P GLAZE LSW
1400 HUDSON ST
ELKHART, IN 46516-2023
Phone number: 574-522-0104
Copy
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