Individual
DR. GLEN GILBERT RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1943 GLENNS BAY RD, MYRTLE BEACH, SC 29575-4833
(843) 650-1162
Mailing address
11 BERKSHIRE LOOP, PAWLEYS ISLAND, SC 29585-6349
(843) 235-1034
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3082
SC
Other
Enumeration date
11/20/2006
Last updated
04/29/2008
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