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1487433702
TREVIS JACE GREEN
GEORGETOWN, TX
NPI
1487433702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2023-09-26
Last Update Date
2023-09-26
Business Address
TREVIS JACE GREEN
204 S INTERSTATE 35 STE 203
GEORGETOWN, TX 78628-4125
Phone number: 512-863-7761
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Mailing Address
TREVIS JACE GREEN
1650 LYNDON FARM CT STE 300
LOUISVILLE, KY 40223-5005
Phone number: 726-202-3039
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