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1881663029
ALBERT HARRIS GREEN
LAKELAND, FL
NPI
1881663029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: FL AL1026)
Enumeration Date
2006-03-17
Last Update Date
2007-07-08
Business Address
MR. ALBERT HARRIS GREEN ATC, EMT
2504 CREWS LAKE HILLS LOOP N
LAKELAND, FL 33813-3861
Phone number: 863-670-4311
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Mailing Address
MR. ALBERT HARRIS GREEN ATC, EMT
2504 CREWS LAKE HILLS LOOP N
LAKELAND, FL 33813-3861
Phone number: 863-670-4311
Copy
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