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Individual
CRYSTAL M GREEN
Active
Individual
CRYSTAL M GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2011000648
MO
111NN1001X
Nutrition Chiropractor
2011000648
MO
111NP0017X
Pediatric Chiropractor
2011000648
MO
Other
Enumeration date
01/11/2011
Last updated
09/12/2014
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