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1588630198
GLEN J CORCORAN
MANDEVILLE, LA
NPI
1588630198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: LA 4477)
Enumeration Date
2006-02-23
Last Update Date
2007-07-08
Business Address
Dr. GLEN J CORCORAN D.D.S.
3701 HIGHWAY 59 SUITE E
MANDEVILLE, LA 70471-1905
Phone number: 985-871-9733
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Mailing Address
Dr. GLEN J CORCORAN D.D.S.
3101 GROVE CT
MANDEVILLE, LA 70448-8485
Phone number: 985-626-5582
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