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1902183783
AMANDA JEAN GREEN
EVANSVILLE, IN
NPI
1902183783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06003439A)
Enumeration Date
2011-11-08
Last Update Date
2011-11-08
Business Address
-- AMANDA JEAN GREEN PTA
4900 SHAMROCK DR SUITES 100-102
EVANSVILLE, IN 47715-7325
Phone number: 812-475-3494
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Mailing Address
-- AMANDA JEAN GREEN PTA
4900 SHAMROCK DR SUITES 100-102
EVANSVILLE, IN 47715-7325
Phone number: 812-475-3494
Copy
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