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Individual

MARY J GLYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
221 W MARYDALE AVE, SOLDOTNA, AK 99669-7420
(907) 262-2596
(907) 262-2765
Mailing address
221 W MARYDALE AVE, SOLDOTNA, AK 99669-7420
(907) 262-2596
(907) 262-2765

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
587
AK

Other

Enumeration date
09/16/2013
Last updated
09/16/2013
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