TERRY D GREEN

SAN DIEGO, CA
NPI1801054465
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2008-05-29
Last Update Date2008-05-29
Business Address
Mr. TERRY D GREEN SFIDC
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-524-9356
Mailing Address
Mr. TERRY D GREEN SFIDC
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-524-9356
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