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Individual
GLENN M EICHENAUER
Active
Individual
GLENN M EICHENAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOM AP
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP1658
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP1658
STATE LICENSE #
FL
Enumeration date
01/17/2007
Last updated
01/24/2018
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