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1629269931
THERESA ANN GREEN
CLARKSVILLE, TN
NPI
1629269931
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Professional Name
THERESA A GREEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: TN DA0000010736)
Enumeration Date
2007-08-05
Last Update Date
2007-08-05
Business Address
Mrs. THERESA ANN GREEN RDA
1573 FORT CAMPBELL BLVD
CLARKSVILLE, TN 37042-3535
Phone number: 931-553-0919
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Mailing Address
Mrs. THERESA ANN GREEN RDA
P.O. BOX 2339
CLARKSVILLE, TN 37042-2339
Phone number: 931-553-0919
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