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Individual
GLENNY GARCIA
Active
Individual
GLENNY GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
341356
NY
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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