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1144400359
LONNELLE ANTONIO GREEN
EASTON, MD
NPI
1144400359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-11-06
Last Update Date
2007-11-06
Business Address
-- LONNELLE ANTONIO GREEN
29516 CANVASBACK DR
EASTON, MD 21601-7140
Phone number: 410-822-5007
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Mailing Address
-- LONNELLE ANTONIO GREEN
2336 GODDARD PKWY
SALISBURY, MD 21801-1126
Phone number: 410-334-6961
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