VERNON GARY GREEN

ROLLA, MO
NPI1598740375
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: MO  T02294)
Enumeration Date2005-12-14
Last Update Date2008-01-08
Business Address
-- VERNON GARY GREEN OD
1211 HAUCK DR
ROLLA, MO 65401-4900
Phone number: 573-364-6300
Mailing Address
-- VERNON GARY GREEN OD
PO BOX 490
ROLLA, MO 65402-0490
Phone number: 573-364-6300
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