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Individual

NORRIS ALAN GREEN III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.M.T.

Contact information

Practice address
2908 HERBERTSVILLE RD, POINT PLEASANT BORO, NJ 08742-2805
(732) 228-1419
Mailing address
2908 HERBERTSVILLE RD, POINT PLEASANT BORO, NJ 08742-2805
(732) 228-1419

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01084000
NJ
225700000X
Massage Therapist
MSG008511
PA

Other

Enumeration date
02/28/2017
Last updated
02/28/2017
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