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1447412598
WALTER RUSSELL GREEN
SAN ANTONIO, TX
NPI
1447412598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment
Enumeration Date
2008-06-30
Last Update Date
2008-06-30
Business Address
Mr. WALTER RUSSELL GREEN
5131 ROOSEVELT AVE
SAN ANTONIO, TX 78214-3219
Phone number: 210-526-5213
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Mailing Address
Mr. WALTER RUSSELL GREEN
5131 ROOSEVELT AVE
SAN ANTONIO, TX 78214-3219
Phone number: 210-526-5213
Copy
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