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Organization

DR JOSEPH GLANDON LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH GLANDON OD (OWNER)
(360) 292-3112
Entity
Organization

Contact information

Practice address
1401 GALAXY DR NE, LACEY, WA 98516-4746
(360) 456-7867
(360) 456-7869
Mailing address
17034 173RD LN SE, RAINIER, WA 98576-9411
(360) 292-3112

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1287
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2062503
WA
Enumeration date
05/12/2014
Last updated
09/30/2014
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