Individual
DR. CHARLENE DUBOIS GLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
127 EASTERN AVE, GLOUCESTER, MA 01930-1802
(978) 526-1368
Mailing address
127 EASTERN AVE, GLOUCESTER, MA 01930-1802
(978) 526-1368
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4143
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0330060
—
MA
Enumeration date
08/04/2006
Last updated
07/08/2007
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