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Individual

MRS. JULIET E. GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
55 HUGHES ST, BLAIRSVILLE, GA 30512-3551
(706) 745-6292
(706) 745-6803
Mailing address
P.O. BOX 1532, BLAIRSVILLE, GA 30514
(706) 745-6292
(706) 745-6803

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN049038
GA

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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