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Individual
JUDY JEAN GLENN
Active
Individual
JUDY JEAN GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN 229194 NP 10606
CA
367A00000X
Advanced Practice Midwife
Primary
NMW 465
CA
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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