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1114228947
ANTHONY LOUIS GREEN
BELLINGHAM, WA
NPI
1114228947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2010-11-10
Last Update Date
2023-11-20
Business Address
Mr. ANTHONY LOUIS GREEN COTA/L
800 E CHESTNUT ST
BELLINGHAM, WA 98225-5241
Phone number: 360-788-8143
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Mailing Address
Mr. ANTHONY LOUIS GREEN COTA/L
311 N RIVER ST
MONTESANO, WA 98563-3010
Phone number: 360-249-8252
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