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Individual

CASSANDRA GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N., CSFA

Contact information

Practice address
201 2ND AVE, MONTGOMERY, IL 60538-1531
(630) 777-1414
Mailing address
PO BOX 309, MONEE, IL 60449-0309
(708) 235-0352
(708) 328-3668

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
149334
IL

Other

Enumeration date
05/21/2014
Last updated
09/15/2015
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