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1134675937
SHANNON MARIE GREEN
DES MOINES, IA
NPI
1134675937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IA A112605)
Enumeration Date
2016-08-31
Last Update Date
2018-05-15
Business Address
SHANNON MARIE GREEN ARNP
1801 HICKMAN RD
DES MOINES, IA 50314
Phone number: 515-282-8270
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Mailing Address
SHANNON MARIE GREEN ARNP
PO BOX 1475
DES MOINES, IA 50305-1475
Phone number: 515-643-8611
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