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Individual

KENZI GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1234 N MAIN ST, BOWLING GREEN, OH 43402-1304
(419) 350-4981
Mailing address
14582 HANNAH RD, BOWLING GREEN, OH 43402-9426
(419) 350-4981

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.011829
OH

Other

Enumeration date
06/23/2015
Last updated
06/23/2015
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