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1104403195
KELLY GREEN
GOODYEAR, AZ
NPI
1104403195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 31672)
Enumeration Date
2021-03-25
Last Update Date
2021-03-25
Business Address
KELLY GREEN PT
1626 N LITCHFIELD RD STE 310
GOODYEAR, AZ 85395-1397
Phone number: 623-680-0036
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Mailing Address
KELLY GREEN PT
7602 N 185TH AVE
WADDELL, AZ 85355-9815
Phone number: 623-680-0036
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