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1427512656
DALE ALLEN GREEN
LAKE ELSINORE, CA
NPI
1427512656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-01-22
Last Update Date
2019-01-22
Business Address
DALE ALLEN GREEN
31946 MISSION TRL STE B
LAKE ELSINORE, CA 92530-4539
Phone number: 951-471-4300
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Mailing Address
DALE ALLEN GREEN
31946 MISSION TRL STE B
LAKE ELSINORE, CA 92530-4539
Phone number: 951-471-4300
Copy
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