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1982827697
MICHAEL BRIAN GREEN
LEWISBURG, WV
NPI
1982827697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WV 1385)
Enumeration Date
2007-04-11
Last Update Date
2016-06-08
Business Address
Mr. MICHAEL BRIAN GREEN MOTR/L
HC 37 BOX 213C
LEWISBURG, WV 24901-9536
Phone number: 304-645-4405
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Mailing Address
Mr. MICHAEL BRIAN GREEN MOTR/L
PO BOX 196
FRANKFORD, WV 24938-0196
Phone number: 304-799-7375
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