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Individual

MRS. SHEILA JO GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LHD

Contact information

Practice address
113 N CHESTNUT ST STE 100, SEYMOUR, IN 47274-2190
(812) 524-8388
(812) 954-5021
Mailing address
1510 NEW FORD RD, SEYMOUR, IN 47274-2263
(812) 569-8640

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
13005538A
IN

Other

Enumeration date
06/25/2020
Last updated
06/25/2020
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