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Organization
KATHERYN L GREEN LLC
Active
Organization
KATHERYN L GREEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERYN LEA GREEN RN, FNP-C (MEMBER/MANAGER)
(903) 521-9234
Entity
Organization
Contact information
Practice address
533 PECOS ST, CHANDLER, TX 75758-9444
(903) 521-9234
(903) 849-2818
Mailing address
PO BOX 929, CHANDLER, TX 75758-0929
(903) 521-9234
(903) 849-2818
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
630050
TX
Other
Enumeration date
03/01/2010
Last updated
06/29/2010
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