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1679832265
AMANDA J GREEN
OAKLAND, CA
NPI
1679832265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2012-05-16
Last Update Date
2022-02-11
Business Address
Dr. AMANDA J GREEN MD
1411 E 31ST ST QIC 22134
OAKLAND, CA 94602-1018
Phone number: 510-437-4965
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Mailing Address
Dr. AMANDA J GREEN MD
1411 E 31ST ST QIC 22134
OAKLAND, CA 94602-1018
Phone number: 510-437-4965
Copy
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