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Individual
PHOENICIA GLINN
Active
Individual
PHOENICIA GLINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
—
NULL
156FX1202X
Optometric Technician
—
NULL
156FX1800X
Optician
—
NULL
156FX1800X
Optician
—
—
172A00000X
Driver
—
NULL
246RP1900X
Phlebotomy Technician
—
NULL
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
347C00000X
Private Vehicle
—
NULL
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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