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Individual
DR. GLENN JAMES PERRYMAN
Active
Individual
DR. GLENN JAMES PERRYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC28276
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BJ282
PTAN
CA
01
—
DC28276
CHIROPRACTIC LICENSE
CA
Enumeration date
02/08/2007
Last updated
10/14/2015
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