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Individual

JERRITT GERRY GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HEALTH SERVICES TECH

Contact information

Practice address
BUILDING N46 CAPE SARICHEF, KODIAK, AK 99619-5002
(907) 487-5757
(907) 487-5360
Mailing address
2100 2ND ST SW, USCG HQ COMDT GG 1122, WASHINGTON, DC 20593-0001
(907) 487-5757
(907) 487-5360

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
COAST GUARD TRAINING

Other

Enumeration date
07/24/2006
Last updated
07/08/2007
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