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1467783506
DENNIS JASON GREEN
NORTH CHARLESTON, SC
NPI
1467783506
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2010-01-28
Last Update Date
2010-01-28
Business Address
-- DENNIS JASON GREEN IDC
1050 REMOUNT RD
NORTH CHARLESTON, SC 29406-3544
Phone number: 843-743-7000
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Mailing Address
-- DENNIS JASON GREEN IDC
1411 CROSS BILL TRL
HANAHAN, SC 29410-8231
Phone number: 808-989-0237
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