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1922159409
RICHARD KYLE GREEN
LITTLE ROCK, AR
NPI
1922159409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AR AT 273)
Enumeration Date
2007-01-13
Last Update Date
2007-07-08
Business Address
-- RICHARD KYLE GREEN
10301 KANIS RD
LITTLE ROCK, AR 72205-6205
Phone number: 501-604-6900
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Mailing Address
-- RICHARD KYLE GREEN
2185 SUGAR CREEK DR
CONWAY, AR 72034-9603
Phone number:
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