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1659687424
JACK CLAYTON GREENE
FUQUAY VARINA, NC
NPI
1659687424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P12811)
Enumeration Date
2010-08-31
Last Update Date
2010-08-31
Business Address
Mr. JACK CLAYTON GREENE PT, DPT
100 FITNESS DR
FUQUAY VARINA, NC 27526-7263
Phone number: 919-557-3100
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Mailing Address
Mr. JACK CLAYTON GREENE PT, DPT
PO BOX 1492
FUQUAY VARINA, NC 27526-1492
Phone number: 919-557-3100
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