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GARY NELL GLOVER
>> Community Health Worker >> Other Service ProvidersRegistrant NPI Number: 1437632890
Individual Registrant: GARY NELL GLOVER
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
72 CLEBOURNE STREET CUTHBERT, GA 39840 US
Tel: 229-732-3981 Fax: --
Tel: 229-732-3981 Fax: --
Contact information for business:
72 CLEBOURNE STREET CUTHBERT, GA 39840 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1437632890
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 172V00000X | Other Service Providers Community Health Worker |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
