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1780711945
GORDON JAMES GREEN
CHARLESTON, WV
NPI
1780711945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: WV 19355)
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
Dr. GORDON JAMES GREEN MD
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302-3351
Phone number: 304-388-2525
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Mailing Address
Dr. GORDON JAMES GREEN MD
1416 VIRGINIA ST E
CHARLESTON, WV 25301-3014
Phone number: 304-345-2766
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