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1053521302
KEVIN JOSEPH GREEN
JOHNSTOWN, PA
NPI
1053521302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA002387-L)
Enumeration Date
2007-05-23
Last Update Date
2014-04-25
Business Address
Mr. KEVIN JOSEPH GREEN P.A
1450 SCALP AVE SUITE 106
JOHNSTOWN, PA 15904-3374
Phone number: 814-266-8466
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Mailing Address
Mr. KEVIN JOSEPH GREEN P.A
105 ALVIN ST
JOHNSTOWN, PA 15904-1833
Phone number: 814-266-1544
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