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Individual
GLENN H FREDENBURG
Active
Individual
GLENN H FREDENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0134798
VT
Other
Enumeration date
04/06/2021
Last updated
04/27/2022
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