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Individual

MR. GLENN EARL PARR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CMT

Contact information

Practice address
2834 STABLE DR, KIMBALL, MI 48074-1435
(810) 488-7510
Mailing address
2834 STABLE DR, KIMBALL, MI 48074-1435
(810) 488-7510

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MI

Other

Enumeration date
01/25/2007
Last updated
07/08/2007
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