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1548784622
ANGELA ROSE GREEN
PHILADELPHIA, PA
NPI
1548784622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: PA DN006199)
Enumeration Date
2017-07-31
Last Update Date
2022-07-21
Business Address
ANGELA ROSE GREEN RD
365 MARTIN ST
PHILADELPHIA, PA 19128-4842
Phone number: 267-246-1858
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Mailing Address
ANGELA ROSE GREEN RD
365 MARTIN ST
PHILADELPHIA, PA 19128-4842
Phone number: 267-246-1858
Copy
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