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Individual

CAROLYN GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 577-3939
Mailing address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
06/23/2025
Last updated
08/02/2025
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