TIFFANY LOUISE GREEN

CHARLESTON, IL
NPI1558635219
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2012-02-28
Last Update Date2012-02-28
Business Address
Mrs. TIFFANY LOUISE GREEN ATC
1501 WOODLAWN DR APT. #1
CHARLESTON, IL 61920-4262
Phone number: 906-290-2429
Mailing Address
Mrs. TIFFANY LOUISE GREEN ATC
1501 WOODLAWN DR APT. #1
CHARLESTON, IL 61920-4262
Phone number: 906-290-2429
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