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1255318572
JOHN JUSTIN GREEN
FORT MYERS, FL
NPI
1255318572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL OS8155)
Enumeration Date
2005-12-28
Last Update Date
2012-03-09
Business Address
Dr. JOHN JUSTIN GREEN DO
14131 METROPOLIS AVE SUITE 104
FORT MYERS, FL 33912-4455
Phone number: 239-332-4099
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Mailing Address
Dr. JOHN JUSTIN GREEN DO
15880 SUMMERLIN RD PMB 207
FT MYERS, FL 33908-9612
Phone number: 239-332-4099
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