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1962420547
JASON A. GLENN
SPRINGFIELD, MO
NPI
1962420547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2003025739)
Enumeration Date
2006-07-18
Last Update Date
2008-07-15
Business Address
Mr. JASON A. GLENN P.A.
1965 S FREMONT AVE STE 130
SPRINGFIELD, MO 65804-2252
Phone number: 417-820-5150
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Mailing Address
Mr. JASON A. GLENN P.A.
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620
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