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1386781102
LATANYA J GREEN
YUCCA VALLEY, CA
NPI
1386781102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-01-31
Last Update Date
2012-09-05
Business Address
-- LATANYA J GREEN
58945 BUSINESS CENTER DR STE D
YUCCA VALLEY, CA 92284-7310
Phone number: 760-228-9657
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Mailing Address
-- LATANYA J GREEN
73194 SUN VALLEY DR
TWENTYNINE PALMS, CA 92277-2228
Phone number: 760-819-1176
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