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1538446190
ALBERT LEROY GLICK
NORTH BEND, OR
NPI
1538446190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-11-10
Last Update Date
2011-11-10
Business Address
Mr. ALBERT LEROY GLICK QMHA
1840 UNION AVE
NORTH BEND, OR 97459-3422
Phone number: 541-756-2057
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Mailing Address
Mr. ALBERT LEROY GLICK QMHA
1840 UNION AVE
NORTH BEND, OR 97459-3422
Phone number: 541-756-2057
Copy
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