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Katie Ann Glenn

Student in an Organized Health Care Education/Training Program in Midland, TX. Individual provider (NPI-1).

NPI number1982259727
StatusActive
Last updated in NPPESAug 8, 2019

Details

NPI
1982259727
Entity type
Individual (NPI-1)
Name
Katie Ann Glenn
Sex
Female
Sole proprietor
No
Enumeration date
Aug 8, 2019
Last updated
Aug 8, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

3600 N Garfield St
Midland, TX 79705-6329

Phone 432-620-1120

Mailing address

5501 Sherwood Dr Apt A206
Midland, TX 79707-1695

Phone 806-790-9810

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