MARSHALL GLENISTER

FORT POLK, LA
NPI1558930487
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  133898)
Enumeration Date2021-06-24
Last Update Date2021-06-24
Business Address
MARSHALL GLENISTER CRNA
1585 3RD ST
FORT POLK, LA 71459-5102
Phone number: 254-760-9499
Mailing Address
MARSHALL GLENISTER CRNA
3813 BUFFALO TRL
TEMPLE, TX 76504-3651
Phone number: 254-760-9499
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