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Individual

MS. DEBORA JANE GLENN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN-BC-WCC

Contact information

Practice address
1822 SAVANNAH HWY, CHARLESTON, SC 29407-6253
(888) 605-4222
Mailing address
1328 SALT MARSH CV, CHARLESTON, SC 29412-8414
(843) 795-8806

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1701
SC

Other

Enumeration date
05/31/2007
Last updated
07/08/2007
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