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1568114734
GABRIEL GUSTAVO GREENE
KNOXVILLE, TN
NPI
1568114734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 4965)
Enumeration Date
2022-01-19
Last Update Date
2024-05-31
Business Address
MR. GABRIEL GUSTAVO GREENE PA-C
6473 KINGSTON PIKE STE 6473
KNOXVILLE, TN 37919-4832
Phone number: 616-459-4171
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Mailing Address
MR. GABRIEL GUSTAVO GREENE PA-C
PO BOX 207830
DALLAS, TX 75320-7830
Phone number: 888-412-2649
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