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1841355971
JUSTIN D GREEN
BOULDER, CO
NPI
1841355971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CO 32177)
Enumeration Date
2006-12-27
Last Update Date
2007-07-08
Business Address
-- JUSTIN D GREEN M.D.
5277 MANHATTAN CIR SUITE 100
BOULDER, CO 80303-8201
Phone number: 720-304-8154
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Mailing Address
-- JUSTIN D GREEN M.D.
PO BOX 1588
BOULDER, CO 80306-1588
Phone number: 303-442-5492
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