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1619935335
CARL LEE GREEN
KINGMAN, KS
NPI
1619935335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KS 1500576)
Enumeration Date
2006-05-02
Last Update Date
2007-07-09
Business Address
Mr. CARL LEE GREEN P.A.
750 W D AVE
KINGMAN, KS 67068-1266
Phone number: 620-532-3147
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Mailing Address
Mr. CARL LEE GREEN P.A.
1015 N FIREFLY CIR
WICHITA, KS 67235-9437
Phone number: 316-721-5284
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