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1417119801
JEANETTE GLEN
CHEEKTOWAGA, NY
NPI
1417119801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 6332748)
Enumeration Date
2008-06-27
Last Update Date
2008-06-27
Business Address
-- JEANETTE GLEN LPN
1680 WALDEN AVE
CHEEKTOWAGA, NY 14225-4914
Phone number: 716-894-7777
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Mailing Address
-- JEANETTE GLEN LPN
124 BARRETT AVE
JAMESTOWN, NY 14701-6502
Phone number: 716-484-9696
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