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1205188372
JEFFERY MYLES GREEN
AMARILLO, TX
NPI
1205188372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 756989)
Enumeration Date
2012-10-12
Last Update Date
2012-10-12
Business Address
-- JEFFERY MYLES GREEN CRNA
6819 PLUM CREEK DR
AMARILLO, TX 79124-1602
Phone number: 806-355-9595
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Mailing Address
-- JEFFERY MYLES GREEN CRNA
PO BOX 2265
AMARILLO, TX 79105-2265
Phone number: 806-355-9595
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