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1518921378
GLENN PHAGAN
HOLLYWOOD, FL
NPI
1518921378
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: FL ME74781)
Enumeration Date
2006-04-17
Last Update Date
2021-03-29
Business Address
GLENN PHAGAN M.D
1150 N 35TH AVE SUITE 135
HOLLYWOOD, FL 33021-5424
Phone number: 954-265-6989
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Mailing Address
GLENN PHAGAN M.D
1150 N 35TH AVE SUITE 135
HOLLYWOOD, FL 33021-5424
Phone number: 954-265-6989
Copy
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