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1083000855
JAMES GREEN
PUYALLUP, WA
NPI
1083000855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 10748354-1204)
Enumeration Date
2015-04-08
Last Update Date
2018-08-03
Business Address
JAMES GREEN D.O.
1322 3RD ST SE SUITE 240
PUYALLUP, WA 98372
Phone number: 253-697-1420
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Mailing Address
JAMES GREEN D.O.
2493 S WILDCAT WAY UNIT B
WOODS CROSS, UT 84010-8292
Phone number: 801-693-3020
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