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Individual

LORIE LOUISE GREENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1111 SIERRA HWY, ROSAMOND, CA 93560
(661) 917-5873
(661) 256-7678
Mailing address
PO BOX 1205, ROSAMOND, CA 93560-1205
(661) 917-5873
(661) 256-7678

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
A6253637
CA

Other

Enumeration date
04/01/2014
Last updated
08/09/2018
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