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1548465727
JONATHAN CARL GREEN
LOS ANGELES, CA
NPI
1548465727
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA G 34530)
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
Dr. JONATHAN CARL GREEN M.D.
637 LUCAS AVE STE 205
LOS ANGELES, CA 90017-1912
Phone number: 866-586-7667
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Mailing Address
Dr. JONATHAN CARL GREEN M.D.
9625 MISSION GORGE RD STE B2, PMB 342
SANTEE, CA 92071-3804
Phone number: 866-586-7667
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