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Isabelle Ruth Glidden

Technician, Other in Grand Rapids, MI. Individual provider (NPI-1).

NPI number1982247334
StatusActive
Last updated in NPPESOct 17, 2019

Details

NPI
1982247334
Entity type
Individual (NPI-1)
Name
Isabelle Ruth Glidden
Sex
Female
Sole proprietor
No
Enumeration date
Oct 17, 2019
Last updated
Oct 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other–MIYes

Practice location

2925 Breton Rd Se
Grand Rapids, MI 49512-1745

Phone 616-243-4336

Mailing address

2925 Breton Rd Se
Grand Rapids, MI 49512-1745

Phone 616-243-4336

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