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1942069141
TIMOTHY WALKER GLASS
GLENDALE, AZ
NPI
1942069141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
Mr. TIMOTHY WALKER GLASS
19555 N 59TH AVE
GLENDALE, AZ 85308-6813
Phone number: 928-279-6768
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Mailing Address
Mr. TIMOTHY WALKER GLASS
9438 W SELLS DR
PHOENIX, AZ 85037-0845
Phone number: 928-279-6768
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