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1144794348
JIMMMYE DALE GREEN
MARYVILLE, TN
NPI
1144794348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225XE1200X Occupational Therapist, Ergonomics
(Licence: TN 0000003798)
Enumeration Date
2019-01-22
Last Update Date
2019-01-22
Business Address
JIMMMYE DALE GREEN OTR/L,CEAS
2648 SEVIERVILLE RD
MARYVILLE, TN 37804-3643
Phone number: 865-984-1660
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Mailing Address
JIMMMYE DALE GREEN OTR/L,CEAS
1843 HIGHWAY 4 E
HOLLY SPRINGS, MS 38635-9744
Phone number: 662-544-2771
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