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1265278519
MALIK GREEN
OVERLAND PARK, KS
NPI
1265278519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2020024438)
Enumeration Date
2024-07-06
Last Update Date
2024-07-06
Business Address
MALIK GREEN MSES, ATC, LAT
10700 NALL AVE
OVERLAND PARK, KS 66211-1206
Phone number: 816-878-0537
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Mailing Address
MALIK GREEN MSES, ATC, LAT
1105 NE HENDRIX DR
LEES SUMMIT, MO 64086-3519
Phone number:
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