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1609074137
MISTY LYNN GREEN
KANSAS CITY, KS
NPI
1609074137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA AT 6624)
Enumeration Date
2007-07-05
Last Update Date
2010-11-22
Business Address
Mrs. MISTY LYNN GREEN P.T.A.
8437 STATE AVE
KANSAS CITY, KS 66112-1842
Phone number: 913-299-9616
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Mailing Address
Mrs. MISTY LYNN GREEN P.T.A.
4911 MILLRIDGE ST
SHAWNEE, KS 66226-9752
Phone number: 913-530-2779
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