DEANTAE GREEN

YERINGTON, NV
NPI1568701217
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2013-01-31
Last Update Date2013-01-31
Business Address
-- DEANTAE GREEN QBA
100 ROSASCHI RD
YERINGTON, NV 89447-8722
Phone number: 800-507-8662
Mailing Address
-- DEANTAE GREEN QBA
100 ROSASCHI RD
YERINGTON, NV 89447-8722
Phone number: 800-507-8662
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