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Individual

CAROL E GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LIC. AC.

Contact information

Practice address
DEDHAM HEALTH ATHLETIC COMPLEX, 200 PROVIDENCE HIGHWAY, DEDHAM, MA 02026
(781) 467-1245
Mailing address
123 SOUTH ST, CHESTNUT HILL, MA 02467-3163
(781) 467-1245

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
209484
MA

Other

Enumeration date
12/01/2006
Last updated
07/08/2007
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