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1952818767
JOSEPH GREEN
LAS VEGAS, NV
NPI
1952818767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2018-01-02
Last Update Date
2018-01-02
Business Address
JOSEPH GREEN
10631 GIBBOUS MOON DR
LAS VEGAS, NV 89129-6493
Phone number: 310-920-8632
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Mailing Address
JOSEPH GREEN
10631 GIBBOUS MOON DR
LAS VEGAS, NV 89129-6493
Phone number: 310-920-8632
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