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1134163868
MARCIA W GREEN
TYLER, TX
NPI
1134163868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 660992)
Enumeration Date
2006-06-15
Last Update Date
2014-10-13
Business Address
-- MARCIA W GREEN FNP
520 E DOUGLAS BLVD
TYLER, TX 75702-8307
Phone number: 903-593-1721
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Mailing Address
-- MARCIA W GREEN FNP
PO BOX 846098
DALLAS, TX 75284-6098
Phone number: 903-324-6450
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