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1902804511
GLEN A MARINO
POTTSVILLE, PA
NPI
1902804511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
204D00000X Neuromusculoskeletal Medicine & OMM
(Licence: PA MD046567L)
Enumeration Date
2005-07-08
Last Update Date
2007-10-17
Business Address
-- GLEN A MARINO MD
420 S JACKSON ST
POTTSVILLE, PA 17901-3625
Phone number: 570-621-5210
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Mailing Address
-- GLEN A MARINO MD
PO BOX 327
ORWIGSBURG, PA 17961-0327
Phone number: 570-621-5121
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