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Individual
GLENN TEMPLE
Active
Individual
GLENN TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
249719
TX
Other
Enumeration date
03/31/2006
Last updated
04/27/2021
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