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1710322680
STEVEN BENJAMIN GLASS
BIRMINGHAM, AL
NPI
1710322680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: AL S10609)
Enumeration Date
2013-05-06
Last Update Date
2013-05-06
Business Address
-- STEVEN BENJAMIN GLASS
800 LAKESHORE DR
BIRMINGHAM, AL 35229-0001
Phone number: 205-726-2011
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Mailing Address
-- STEVEN BENJAMIN GLASS
14227 SOUTHLAND DR
TUSCALOOSA, AL 35405-8977
Phone number: 205-799-4025
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