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Individual

MRS. MARCIA J. GLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
1 FOSTER LANE, RESERVE, NM 87830
(505) 533-6456
(505) 533-6767
Mailing address
HC 61 BOX 390, GLENWOOD, NM 88039-9600
(505) 539-2576
(505) 533-6767

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R41730
NM

Other

Enumeration date
09/26/2006
Last updated
07/08/2007
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