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1649281452
GORDON K GREEN
ROCKFORD, IL
NPI
1649281452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-004702)
Enumeration Date
2006-08-10
Last Update Date
2012-09-05
Business Address
-- GORDON K GREEN PT, OMT
2662 MCFARLAND RD
ROCKFORD, IL 61107-6806
Phone number: 815-227-1700
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Mailing Address
-- GORDON K GREEN PT, OMT
2662 MCFARLAND RD
ROCKFORD, IL 61107-6806
Phone number: 815-227-1700
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