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1962134080
VICTORIOUS GREEN
SPRING, TX
NPI
1962134080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-06-28
Last Update Date
2022-06-28
Business Address
VICTORIOUS GREEN
201 PRUITT RD APT 1134
SPRING, TX 77380-3175
Phone number: 318-953-6374
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Mailing Address
VICTORIOUS GREEN
PO BOX 132692
SPRING, TX 77393-2692
Phone number:
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