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1386882207
GLENN H. DAEHNKE
MEDFORD, NJ
NPI
1386882207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225000000X Orthotic Fitter
Enumeration Date
2009-01-30
Last Update Date
2009-01-30
Business Address
Mr. GLENN H. DAEHNKE CPED
175 ROUTE 70
MEDFORD, NJ 08055-2300
Phone number: 609-953-0909
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Mailing Address
Mr. GLENN H. DAEHNKE CPED
175-15 SHARPS RUN PLAZA RT. 70
MEDFORD, NJ 08055
Phone number: 609-953-0909
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