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1720352313
TIMOTHY GLASCOCK
CORVALLIS, OR
NPI
1720352313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-02-29
Last Update Date
2014-10-15
Business Address
-- TIMOTHY GLASCOCK B.S.
1650 SW 45TH PL
CORVALLIS, OR 97333-1768
Phone number: 541-757-8068
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Mailing Address
-- TIMOTHY GLASCOCK B.S.
1650 SW 45TH PL
CORVALLIS, OR 97333-1768
Phone number: 541-757-8068
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