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1508850595
BERNARD L GREEN
APPLETON, WI
NPI
1508850595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: WI 1272)
Enumeration Date
2005-09-06
Last Update Date
2008-09-02
Business Address
-- BERNARD L GREEN Ph D
1531 S MADISON ST
APPLETON, WI 54915-1800
Phone number: 920-730-4411
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Mailing Address
-- BERNARD L GREEN Ph D
1531 S MADISON ST
APPLETON, WI 54915-1800
Phone number: 920-730-4411
Copy
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