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1013476506
TINA LUANNE GREEN
GAFFNEY, SC
NPI
1013476506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 21930)
Enumeration Date
2019-03-14
Last Update Date
2019-03-14
Business Address
TINA LUANNE GREEN FNP-BC
104 WILLIS PLZ
GAFFNEY, SC 29341-1500
Phone number: 800-792-9030
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Mailing Address
TINA LUANNE GREEN FNP-BC
656 SLOAN RD
LYMAN, SC 29365-9509
Phone number: 864-580-8000
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