Individual
ILLYA GLAZUNOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2625 QUEEN AVE SE, ALBANY, OR 97322-6863
(541) 928-8266
Mailing address
2828 LUCIA CT NW, ALBANY, OR 97321-1194
(503) 953-5647
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6213
OR
Other
Enumeration date
03/20/2022
Last updated
03/20/2022
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