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1336262559
CHARLES BRUCE GREEN
WASHINGTON, DC
NPI
1336262559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G48009)
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
CHARLES BRUCE GREEN M.D.
HQ USAF SG 1780 AIR FORCE PENTAGON
WASHINGTON, DC 20330-0001
Phone number: 202-767-4766
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Mailing Address
CHARLES BRUCE GREEN M.D.
84 WESTOVER AVE SW
BOLLING AFB, DC 20032-7432
Phone number: 210-862-7592
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