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Individual

CHERRELL GLENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15216 W ALVARADO DR, GOODYEAR, AZ 85395-4800
(216) 906-3032
Mailing address
15216 W ALVARADO DR, GOODYEAR, AZ 85395-4800
(216) 906-3032

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
161314
OH

Other

Enumeration date
04/24/2026
Last updated
04/24/2026
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