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1285946822
DEREK A GREEN
BEND, OR
NPI
1285946822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: OR 6254)
Enumeration Date
2010-07-12
Last Update Date
2014-05-06
Business Address
Mr. DEREK A GREEN DPT
330 NE MARSHALL AVE
BEND, OR 97701-4346
Phone number: 541-383-8179
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Mailing Address
Mr. DEREK A GREEN DPT
330 NE MARSHALL AVE
BEND, OR 97701-4346
Phone number: 541-383-8179
Copy
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