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1467528588
DOUGLAS ALLAN GREENE
BOUNTIFUL, UT
NPI
1467528588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 353133-1206)
Enumeration Date
2006-11-28
Last Update Date
2010-01-21
Business Address
-- DOUGLAS ALLAN GREENE PA-C
214 W 1500 S
BOUNTIFUL, UT 84010-7408
Phone number: 801-295-6483
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Mailing Address
-- DOUGLAS ALLAN GREENE PA-C
PO BOX 307
BOUNTIFUL, UT 84011-0307
Phone number: 801-294-6907
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