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1063853893
MIYOKO STEPHANIE GREEN
COLORADO SPRINGS, CO
NPI
1063853893
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Former Name
MIYOKO G. IVIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO pa0003732)
Enumeration Date
2013-07-09
Last Update Date
2018-11-26
Business Address
MIYOKO STEPHANIE GREEN PA-C
2446 RESEARCH PKWY SUITE 200
COLORADO SPRINGS, CO 80920-1087
Phone number: 719-623-1050
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Mailing Address
MIYOKO STEPHANIE GREEN PA-C
2446 RESEARCH PKWY SUITE 200
COLORADO SPRINGS, CO 80920-1087
Phone number: 719-623-1050
Copy
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