MICHAEL THOMAS GREEN

SACRAMENTO, CA
NPI1225429251
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2015-02-12
Last Update Date2015-02-12
Business Address
-- MICHAEL THOMAS GREEN ATC
1651 51ST ST
SACRAMENTO, CA 95819-4503
Phone number: 626-644-2048
Mailing Address
-- MICHAEL THOMAS GREEN ATC
1651 51ST ST
SACRAMENTO, CA 95819-4503
Phone number: 626-644-2048
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