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1114309358
GEORGINA GREEN
KANSAS CITY, MO
NPI
1114309358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2015020155)
Enumeration Date
2015-06-24
Last Update Date
2015-06-24
Business Address
-- GEORGINA GREEN
6675 HOLMES RD STE 450
KANSAS CITY, MO 64131-1173
Phone number: 816-276-7650
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Mailing Address
-- GEORGINA GREEN
14805 HADLEY ST
OVERLAND PARK, KS 66223-2772
Phone number: 913-403-6036
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