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1659366375
KENNETH H GREEN
TAMPA, FL
NPI
1659366375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: FL OPC1473)
Enumeration Date
2005-09-19
Last Update Date
2008-11-14
Business Address
Dr. KENNETH H GREEN OD
4040 W KENNEDY BLVD
TAMPA, FL 33609-2750
Phone number: 813-286-0433
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Mailing Address
Dr. KENNETH H GREEN OD
4040 W KENNEDY BLVD
TAMPA, FL 33609-2750
Phone number: 813-286-0433
Copy
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