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Individual

MRS. LAUREL MICHELLE GLENDENING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2737
OK

Other

Enumeration date
11/21/2017
Last updated
11/21/2017
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