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1619012523
TIFFANY GREEN
CHICAGO, IL
NPI
1619012523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070015306)
Enumeration Date
2007-02-20
Last Update Date
2010-05-11
Business Address
-- TIFFANY GREEN DPT
5764 S ARCHER AVE
CHICAGO, IL 60638-1643
Phone number: 773-284-0888
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Mailing Address
-- TIFFANY GREEN DPT
5764 S ARCHER AVE
CHICAGO, IL 60638-1643
Phone number: 773-284-0888
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