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1447790100
JODY ALAN GREEN
DES MOINES, IA
NPI
1447790100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 001197)
Enumeration Date
2017-02-28
Last Update Date
2017-02-28
Business Address
Mr. JODY ALAN GREEN ATC
730 3RD ST
DES MOINES, IA 50309-1302
Phone number: 515-564-8746
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Mailing Address
Mr. JODY ALAN GREEN ATC
730 3RD ST
DES MOINES, IA 50309-1302
Phone number: 515-564-8746
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