Individual
KYLIN GLASSCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1741 SPRINGFIELD LN, LANSING, MI 48912-4533
(517) 214-3907
Mailing address
1741 SPRINGFIELD LN, LANSING, MI 48912-4533
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
G 420 485 367 881
MI
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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