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Individual

GLENN D BEHRMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1054 S BUENA VISTA DR, LAKE ALFRED, FL 33850-3408
(863) 956-1458
Mailing address
1054 S BUENA VISTA DR, LAKE ALFRED, FL 33850-3408
(863) 956-1458

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6175
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22513
BLUE CROSS BLUE SHEILD
FL
05
381380100
FL
Enumeration date
01/04/2007
Last updated
07/08/2007
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