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1871096602
DERRY GLENN
LIMA, OH
NPI
1871096602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-03-18
Last Update Date
2018-03-18
Business Address
DERRY GLENN Dr
799 S MAIN ST
LIMA, OH 45804-1519
Phone number: 419-229-2222
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Mailing Address
DERRY GLENN Dr
5982 RHODES RD
KENT, OH 44240-8100
Phone number: 330-673-1347
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