Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers |
| NPI # | 1649503624 |
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| LBN Legal business name | GLICKMAN DESIGN BUILD, LLC | ||||
| Authorized official | RUSSELL GLCKMAN - (MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/09/2009 | ||||
| Last updated | 09/09/2009 - About 17 years ago | ||||
| Identifiers |
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