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1801850672
GLENN KEITH MORAN
PLANTATION, FL
NPI
1801850672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS5696)
Enumeration Date
2006-04-17
Last Update Date
2007-07-08
Business Address
Dr. GLENN KEITH MORAN DO,FACOFP
201 NW 82ND AVE
PLANTATION, FL 33324-1856
Phone number: 954-472-5100
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Mailing Address
Dr. GLENN KEITH MORAN DO,FACOFP
3201 SW 135TH TER
DAVIE, FL 33330-4647
Phone number: 954-472-5100
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