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Individual
DR. GLENN LEE DODES
Active
Individual
DR. GLENN LEE DODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1871MA
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2060411
AETNA
MA
01
—
351969
HARVARD PILGRIM HEALTH
MA
01
—
44-00074
UNITED HEALTHCARE
MA
01
—
453635
TUFTS
MA
Enumeration date
09/25/2006
Last updated
09/24/2008
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