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1265013841
KATELYN JOY GREENE
IRVING, TX
NPI
1265013841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA14272)
Enumeration Date
2021-04-15
Last Update Date
2021-04-15
Business Address
KATELYN JOY GREENE PA-C
1451 W AIRPORT FWY STE 1
IRVING, TX 75062-6223
Phone number: 469-931-6136
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Mailing Address
KATELYN JOY GREENE PA-C
211 HORSESHOE DR
KILGORE, TX 75662-2819
Phone number: 903-240-3325
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