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1578622817
BYRON CORRIE GLENN
DEER PARK, WA
NPI
1578622817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP 60001347)
Enumeration Date
2006-12-06
Last Update Date
2011-07-21
Business Address
Mr. BYRON CORRIE GLENN NURSE PRACTITIONER
401 S. MAIN AVE
DEER PARK, WA 99006
Phone number: 509-434-0292
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Mailing Address
Mr. BYRON CORRIE GLENN NURSE PRACTITIONER
203 N WASHINGTON ST SUITE 300
SPOKANE, WA 99201-0233
Phone number: 509-444-8888
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