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1124799176
CHANHOM L GREEN
ITHACA, NY
NPI
1124799176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WS0200X Registered Nurse, School
(Licence: NY 77531301)
Enumeration Date
2021-09-21
Last Update Date
2021-09-21
Business Address
Mrs. CHANHOM L GREEN Registered Nurse
555 WARREN RD
ITHACA, NY 14850-1862
Phone number: 607-257-1555
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Mailing Address
Mrs. CHANHOM L GREEN Registered Nurse
555 WARREN RD
ITHACA, NY 14850-1862
Phone number: 607-257-1555
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