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1649277344
JOHN EDWARD GREEN
SAN ANTONIO, TX
NPI
1649277344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX F4021)
Enumeration Date
2005-07-07
Last Update Date
2007-07-17
Business Address
-- JOHN EDWARD GREEN MD
13510 PUEBLO RUN
SAN ANTONIO, TX 78232-5181
Phone number: 210-410-3293
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Mailing Address
-- JOHN EDWARD GREEN MD
13510 PUEBLO RUN
SAN ANTONIO, TX 78232-5181
Phone number: 210-410-3293
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