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1528052172
CHRISTINE GREEN
KENOSHA, WI
NPI
1528052172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
(Licence: WA PT00005215)
Enumeration Date
2005-09-08
Last Update Date
2016-03-07
Business Address
-- CHRISTINE GREEN PT, ATC
7822 28TH AVE
KENOSHA, WI 53143-5622
Phone number: 262-764-0754
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Mailing Address
-- CHRISTINE GREEN PT, ATC
3420 ILLINOIS ST
GREAT LAKES, IL 60088-3161
Phone number: 847-688-6755
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