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1679255004
KARLY GLENN
MCMINNVILLE, OR
NPI
1679255004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA222423)
Enumeration Date
2023-08-04
Last Update Date
2024-10-03
Business Address
KARLY GLENN
115 NE MAY LN
MCMINNVILLE, OR 97128-9272
Phone number: 503-472-1338
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Mailing Address
KARLY GLENN
PO BOX 6149
ALOHA, OR 97007-0149
Phone number:
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