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1457993222
COURTNEY GREEN
ODENTON, MD
NPI
1457993222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0007676)
Enumeration Date
2019-10-14
Last Update Date
2020-09-22
Business Address
COURTNEY GREEN
1130 ANNAPOLIS RD STE 100
ODENTON, MD 21113-1622
Phone number: 757-969-7591
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Mailing Address
COURTNEY GREEN
8 VOLUNTEER TRL
POQUOSON, VA 23662-1049
Phone number:
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