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1942468244
KELLY ROBERT GREEN
LONGVIEW, TX
NPI
1942468244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: TX 50324)
Enumeration Date
2008-05-23
Last Update Date
2008-05-23
Business Address
Mr. KELLY ROBERT GREEN M.S.
3211 N 4TH ST STE B
LONGVIEW, TX 75605-5145
Phone number: 903-758-8346
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Mailing Address
Mr. KELLY ROBERT GREEN M.S.
400 S HENDERSON ST
FORT WORTH, TX 76104-1017
Phone number: 817-335-2583
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