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1043825748
CHRISTA ADELE GREEN
SANTA ROSA, CA
NPI
1043825748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA PT298197)
Enumeration Date
2020-09-10
Last Update Date
2020-09-10
Business Address
CHRISTA ADELE GREEN PT
208 CONCOURSE BLVD STE 2
SANTA ROSA, CA 95403-8210
Phone number: 707-303-4995
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Mailing Address
CHRISTA ADELE GREEN PT
208 CONCOURSE BLVD STE 2
SANTA ROSA, CA 95403-8210
Phone number: 707-303-4995
Copy
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