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Individual
GLENN GAIL SCOTTING
Active
Individual
GLENN GAIL SCOTTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
CP001881
SD
363LP2300X
Primary Care Nurse Practitioner
Primary
CP001881
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
SD
Other
Enumeration date
10/09/2020
Last updated
05/16/2023
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