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1639143654
GLENN KINGERY
FORT CARSON, CO
NPI
1639143654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO 575)
Enumeration Date
2006-02-15
Last Update Date
2007-07-08
Business Address
Mr. GLENN KINGERY physician assistant
1853 OCONNELL ST BLDG 1042
FORT CARSON, CO 80913
Phone number: 719-524-5290
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Mailing Address
Mr. GLENN KINGERY physician assistant
7844 SCARBOROUGH DR
COLORADO SPRINGS, CO 80920-7107
Phone number:
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