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Organization
GREEN AND GUIRNALDA FAMILY HEALTH CENTER
Active
Organization
GREEN AND GUIRNALDA FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINIQUE LEONETTA GREEN MD (PHYSICIAN)
(937) 572-7252
Entity
Organization
Contact information
Practice address
3359 KEMP RD STE 100, BEAVERCREEK, OH 45431-2565
(937) 572-7252
(937) 458-4539
Mailing address
3359 KEMP RD STE 100, BEAVERCREEK, OH 45431-2565
(937) 572-7252
(937) 458-4539
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35074642
OH
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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