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1760794515
MICHAEL GREEN
BOISE, ID
NPI
1760794515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: ID chia-384)
Enumeration Date
2010-07-09
Last Update Date
2010-07-09
Business Address
-- MICHAEL GREEN D.C.
5101 BEL AIR ST
BOISE, ID 83705-2774
Phone number: 208-386-9525
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Mailing Address
-- MICHAEL GREEN D.C.
5101 BEL AIR ST
BOISE, ID 83705-2774
Phone number: 208-386-9525
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