TERESA GREEN

DECATUR, IL
NPI1144557810
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261Q00000X Clinic/Center
(Licence: IL  T370765549)
Enumeration Date2009-11-17
Last Update Date2009-11-17
Business Address
MS. TERESA GREEN LPN
151 N MAIN ST
DECATUR, IL 62523-1206
Phone number: 217-362-6262
Mailing Address
MS. TERESA GREEN LPN
151 N MAIN
DECATUR, IL 62523
Phone number: 217-362-6262
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