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1194208843
JUSTUS ISHMAEL GREEN
CHATTANOOGA, TN
NPI
1194208843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN 212712)
Enumeration Date
2018-09-10
Last Update Date
2018-09-10
Business Address
Mr. JUSTUS ISHMAEL GREEN CRNA
975 E 3RD ST
CHATTANOOGA, TN 37403-2147
Phone number: 423-602-8400
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Mailing Address
Mr. JUSTUS ISHMAEL GREEN CRNA
PO BOX 2930
INDIANAPOLIS, IN 46206-2930
Phone number: 844-468-9496
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