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Individual

NAKALEA GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3527 LIGHTHOUSE WAY, CONYERS, GA 30013-6392
(770) 616-4728
Mailing address
3527 LIGHTHOUSE WAY, CONYERS, GA 30013-6392

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
08/26/2024
Last updated
08/26/2024
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