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1114045200
STEPHANIE REGENA GREEN
SAN FERNANDO, CA
NPI
1114045200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A86538)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
Dr. STEPHANIE REGENA GREEN MD
1212 PICO ST
SAN FERNANDO, CA 91340-3503
Phone number: 818-837-6969
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Mailing Address
Dr. STEPHANIE REGENA GREEN MD
1212 PICO ST
SAN FERNANDO, CA 91340-3503
Phone number:
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