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Individual

DAVINA EARLENE GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
501 E GREEN DR, HIGH POINT, NC 27260-6707
(336) 641-6987
Mailing address
5044 TAMARACK DR, GREENSBORO, NC 27407-8500
(336) 307-4221

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
111574
NC

Other

Enumeration date
11/14/2011
Last updated
11/14/2011
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