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1497227151
KEVIN LEE GREEN
TULSA, OK
NPI
1497227151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 3016)
Enumeration Date
2018-12-19
Last Update Date
2018-12-19
Business Address
KEVIN LEE GREEN PA-C
10221 E 81ST ST
TULSA, OK 74133-4559
Phone number: 918-252-9300
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Mailing Address
KEVIN LEE GREEN PA-C
2408 GALAXY RD
SAPULPA, OK 74066-6800
Phone number:
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