Individual
MS. MOLLY ANN GLAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 NA AU SAY CT, OSWEGO, IL 60543-9164
(630) 363-5025
Mailing address
18 NA-AU-SAY COURT, OSWEGO, IL 60543-9164
(630) 363-5025
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
G415-5418-8691
IL
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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