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1457371460
CHAD B GREEN
KETTERING, OH
NPI
1457371460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OH 50.002471)
Enumeration Date
2006-07-20
Last Update Date
2021-01-19
Business Address
CHAD B GREEN PA
3535 SOUTHERN BLVD
KETTERING, OH 45429-1221
Phone number: 937-395-6665
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Mailing Address
CHAD B GREEN PA
3535 SOUTHERN BLVD
KETTERING, OH 45429-1221
Phone number: 937-395-6665
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