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STEPHEN ROBERT GREEN

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1255976551

Individual Registrant:
 STEPHEN ROBERT GREEN 
Gender: M
Sole Proprietor

Location and contact information for practice:
1515 LEE RD  GUILFORD, VT 05301-8520 US
Tel: 802-258-4833  Fax: --

Contact information for business:
1515 LEE RD  GUILFORD, VT 05301-8520 US
Tel: 802-258-4833  Fax: --

Registration Information:
NPI: 1255976551
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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