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1982349833
GLEN WAYNE MARTIN
DANVILLE, IL
NPI
1982349833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171WH0202X Contractor, Home Modifications
(Licence: IL B-0014)
Enumeration Date
2022-05-04
Last Update Date
2022-05-04
Business Address
GLEN WAYNE MARTIN
218 N LOGAN AVE
DANVILLE, IL 61832-5655
Phone number: 217-431-0240
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Mailing Address
GLEN WAYNE MARTIN
108 LAKESIDE DR
DANVILLE, IL 61832-1317
Phone number: 217-497-0444
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