JEFFERY MYLES GREEN

AMARILLO, TX
NPI1205188372
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  756989)
Enumeration Date2012-10-12
Last Update Date2012-10-12
Business Address
-- JEFFERY MYLES GREEN CRNA
6819 PLUM CREEK DR
AMARILLO, TX 79124-1602
Phone number: 806-355-9595
Mailing Address
-- JEFFERY MYLES GREEN CRNA
PO BOX 2265
AMARILLO, TX 79105-2265
Phone number: 806-355-9595
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