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1114349008
JONTRELL GREEN
NORTH LAS VEGAS, NV
NPI
1114349008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2014-01-10
Last Update Date
2014-01-10
Business Address
-- JONTRELL GREEN
6509 CHATTERER ST
NORTH LAS VEGAS, NV 89084-2254
Phone number: 504-236-8879
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Mailing Address
-- JONTRELL GREEN
6509 CHATTERER ST
NORTH LAS VEGAS, NV 89084-2254
Phone number:
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