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Individual

DR. JACOB RICHARD GLASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D. C.

Contact information

Practice address
810 MARKET ST, METROPOLIS, IL 62960-1636
(618) 524-5151
Mailing address
810 MARKET ST, METROPOLIS, IL 62960-1636
(618) 524-5151

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011432
IL

Other

Enumeration date
06/08/2009
Last updated
07/15/2009
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