JODY ALAN GREEN

DES MOINES, IA
NPI1447790100
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA  001197)
Enumeration Date2017-02-28
Last Update Date2017-02-28
Business Address
Mr. JODY ALAN GREEN ATC
730 3RD ST
DES MOINES, IA 50309-1302
Phone number: 515-564-8746
Mailing Address
Mr. JODY ALAN GREEN ATC
730 3RD ST
DES MOINES, IA 50309-1302
Phone number: 515-564-8746
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