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1194101816
LATRESHA EVANS GREEN
BIRMINGHAM, AL
NPI
1194101816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1744P3200X Specialist, Prosthetics Case Management
Enumeration Date
2015-08-04
Last Update Date
2015-08-04
Business Address
Mrs. LATRESHA EVANS GREEN
1729 DRIFTWOOD LN
BIRMINGHAM, AL 35235-2981
Phone number: 205-706-3012
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Mailing Address
Mrs. LATRESHA EVANS GREEN
PO BOX 610114
BIRMINGHAM, AL 35261-0114
Phone number: 205-706-3012
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