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Individual
MRS. PASQUINEL G GLENN
Active
Individual
MRS. PASQUINEL G GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2004000619
MO
363A00000X
Physician Assistant
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2035487-02
—
TX
05
—
3034290-01
—
TX
01
—
886N28
BCBS
TX
01
—
890N47
BCBS
TX
01
—
P01095021
RAIL ROAD MEDICARE
TX
Enumeration date
07/18/2006
Last updated
02/07/2024
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