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Individual

DR. GLEN ROY BRUBAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1077 GYPSY HILL RD, LANCASTER, PA 17602-1215
(717) 397-1411
Mailing address
1077 GYPSY HILL RD, LANCASTER, PA 17602-1215
(717) 397-1411

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
MD009385E
PA

Other

Enumeration date
07/28/2009
Last updated
07/28/2009
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