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1144729815
ALISA GREEN
ST PETERSBURG, FL
NPI
1144729815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL 9327638)
Enumeration Date
2018-02-07
Last Update Date
2018-02-07
Business Address
ALISA GREEN
1200 7TH AVE N
ST PETERSBURG, FL 33705-1300
Phone number: 727-825-1000
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Mailing Address
ALISA GREEN
1602 ATLANTIC DR
RUSKIN, FL 33570-4906
Phone number:
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