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Organization
P A T H HEALTH CENTER INC
Active
Organization
P A T H HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTIN TRENT GLENNON D.C. (CHIROPRACTIC PHYSICIAN)
(904) 246-1512
Entity
Organization
Contact information
Practice address
2710 3RD ST S, JACKSONVILLE BEACH, FL 32250-6028
(904) 246-1512
Mailing address
2710 3RD ST S, JACKSONVILLE BEACH, FL 32250-6028
(904) 246-1512
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 10704
FL
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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