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1710960778
CLAYTON BARRY GLENN
JACKSON, TN
NPI
1710960778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
122300000X Dentist
(Licence: TN DS 4012)
Enumeration Date
2005-11-23
Last Update Date
2007-07-08
Business Address
DR. CLAYTON BARRY GLENN DDS
29 N STAR DR
JACKSON, TN 38305-6657
Phone number: 731-661-0051
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Mailing Address
DR. CLAYTON BARRY GLENN DDS
29 N STAR DR
JACKSON, TN 38305-6657
Phone number: 731-661-0051
Copy
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