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1174921357
JENNIFER GREEN
VIRGINIA BEACH, VA
NPI
1174921357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: VA 0129-000104)
Enumeration Date
2014-12-20
Last Update Date
2014-12-20
Business Address
Ms. JENNIFER GREEN LM, CPM
2253 CALVERT ST
VIRGINIA BEACH, VA 23451-1739
Phone number: 757-339-4315
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Mailing Address
Ms. JENNIFER GREEN LM, CPM
2253 CALVERT ST
VIRGINIA BEACH, VA 23451-1739
Phone number: 757-339-4315
Copy
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