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1063419653
CAROL V GREENE
TARZANA, CA
NPI
1063419653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: CA 247536)
Enumeration Date
2005-06-28
Last Update Date
2007-07-08
Business Address
-- CAROL V GREENE NNP
18321 CLARK ST
TARZANA, CA 91356-3501
Phone number: 818-708-5242
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Mailing Address
-- CAROL V GREENE NNP
19441 ROMAR ST
NORTHRIDGE, CA 91324-1139
Phone number: 818-419-2329
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