Individual
GINA A GREENE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
101 7TH ST SW, ORANGE CITY, IA 51041-1923
(712) 707-7319
Mailing address
621 DELAWARE AVE SW, ORANGE CITY, IA 51041-1950
(712) 737-4217
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00354
IA
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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