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1982140018
JALESSIA LYRAY GREEN
COLORADO SPRINGS, CO
NPI
1982140018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
(Licence: CO 26-2707834)
Enumeration Date
2017-01-12
Last Update Date
2017-01-12
Business Address
-- JALESSIA LYRAY GREEN
13 S TEJON ST SUITE 501
COLORADO SPRINGS, CO 80903-1513
Phone number: 866-226-8576
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Mailing Address
-- JALESSIA LYRAY GREEN
525 W HAWTHORNE PL UNIT 804
CHICAGO, IL 60657-2907
Phone number: 513-680-7350
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