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Individual
DR. MICHELE RENEE GREEN
Active
Individual
DR. MICHELE RENEE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHIROPRACTOR
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06438
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0763201
—
IA
Enumeration date
10/05/2006
Last updated
06/05/2014
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