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1124278585
JODIE JANE GREEN
MCALESTER, OK
NPI
1124278585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: OK R0073757)
Enumeration Date
2008-09-23
Last Update Date
2011-02-17
Business Address
JODIE JANE GREEN ARNP
1501A E WADE WATTS AVE
MCALESTER, OK 74501-5651
Phone number: 918-302-0900
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Mailing Address
JODIE JANE GREEN ARNP
1501A E WADE WATTS AVE
MCALESTER, OK 74501-5651
Phone number: 918-302-0900
Copy
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