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Individual

GLEN FLEMING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT, M.M.P

Contact information

Practice address
117 W CHAMPIONS BLVD STE 16, ROGERS, AR 72758-9562
(479) 685-7788
Mailing address
117 W CHAMPIONS BLVD STE 16, ROGERS, AR 72758-9562
(479) 685-7788

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8483
AR

Other

Enumeration date
12/03/2014
Last updated
07/21/2022
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