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1518109925
IRA LEE GLASS
LITTLE ROCK, AR
NPI
1518109925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: AR 000309182)
Enumeration Date
2009-03-31
Last Update Date
2009-03-31
Business Address
-- IRA LEE GLASS
2008 S MAPLE ST
LITTLE ROCK, AR 72204-4033
Phone number: 501-258-9566
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Mailing Address
-- IRA LEE GLASS
2601 FAIR PARK BLVD
LITTLE ROCK, AR 72204-5149
Phone number: 318-638-8139
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