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1124156922
JENNIFER D GREEN
BAYTOWN, TX
NPI
1124156922
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Former Name
JENNIFER D MOORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX 102511)
Enumeration Date
2007-03-01
Last Update Date
2012-05-11
Business Address
-- JENNIFER D GREEN CST
2635 BAKER RD.
BAYTOWN, TX 77521
Phone number: 281-837-8550
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Mailing Address
-- JENNIFER D GREEN CST
7401 S. MAIN
HOUSTON, TX 77030
Phone number: 713-799-2300
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