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1700429925
TRAVIS GREEN
EASTON, PA
NPI
1700429925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP020896)
Enumeration Date
2019-10-21
Last Update Date
2019-10-21
Business Address
TRAVIS GREEN CRNP
3701 CORRIERE RD STE 10
EASTON, PA 18045-7991
Phone number: 484-591-7205
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Mailing Address
TRAVIS GREEN CRNP
1605 N CEDAR CREST BLVD STE 411
ALLENTOWN, PA 18104-2323
Phone number: 484-884-4500
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