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1720646094
GLENN WILBUR SCANES
DAYTONA BEACH, FL
NPI
1720646094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-06-03
Last Update Date
2019-06-03
Business Address
GLENN WILBUR SCANES
1823 BUSINESS PARK BLVD
DAYTONA BEACH, FL 32114-1230
Phone number: 386-255-5818
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Mailing Address
GLENN WILBUR SCANES
100 BENT TREE DR
DAYTONA BEACH, FL 32114-1195
Phone number: 321-213-8065
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