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1124027644
JUSTIN B. GREEN
NEW IBERIA, LA
NPI
1124027644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: LA PD324R)
Enumeration Date
2005-07-18
Last Update Date
2007-07-08
Business Address
Dr. JUSTIN B. GREEN D.P.M.
2309 E MAIN ST SUITE 201
NEW IBERIA, LA 70560-4046
Phone number: 337-364-8878
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Mailing Address
Dr. JUSTIN B. GREEN D.P.M.
2309 E MAIN ST SUITE 201
NEW IBERIA, LA 70560-4046
Phone number: 337-560-5543
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