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1265609333
JOSEPH E GREEN
SAN DIEGO, CA
NPI
1265609333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2008-05-08
Last Update Date
2012-03-27
Business Address
Mr. JOSEPH E GREEN IDC
140 SYLVESTER RD, BLDG 139
SAN DIEGO, CA 92106-3521
Phone number: 619-808-3790
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Mailing Address
Mr. JOSEPH E GREEN IDC
140 SYLVESTER RD BLDG 139
SAN DIEGO, CA 92106-3521
Phone number: 619-808-3790
Copy
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