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Individual

DELORES GLENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2111 WILSON RD, NEWBERRY, SC 29108-1603
(803) 321-2300
(803) 321-2300
Mailing address
2111 WILSON RD, NEWBERRY, SC 29108
(803) 321-2170
(803) 321-2300

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P37952
SC

Other

Enumeration date
03/27/2014
Last updated
03/27/2014
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