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1770570822
GLENN M STANLEY
FAYETTEVILLE, NC
NPI
1770570822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 102083)
Enumeration Date
2005-10-04
Last Update Date
2017-02-20
Business Address
Mr. GLENN M STANLEY PA-C
420 OWEN DR
FAYETTEVILLE, NC 28304-3430
Phone number: 910-484-1210
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Mailing Address
Mr. GLENN M STANLEY PA-C
7169 GOLDSBORO RD
WADE, NC 28395-8959
Phone number: 910-717-1714
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