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Individual

DEBRA JANE GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
5901 ZUNI RD SE, ALBUQUERQUE, NM 87108-3073
(505) 383-1130
Mailing address
13221 VELMA CT NE, ALBUQUERQUE, NM 87112-6356
(505) 383-1130

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN71158
NM

Other

Enumeration date
05/07/2010
Last updated
05/07/2010
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