LAURA GERMAINE GREEN

SAINT LOUIS, MO
NPI1164653549
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: MO  000370)
Enumeration Date2009-08-03
Last Update Date2009-08-03
Business Address
-- LAURA GERMAINE GREEN OTR
9645 BIG BEND BLVD
SAINT LOUIS, MO 63122-6521
Phone number: 314-968-5460
Mailing Address
-- LAURA GERMAINE GREEN OTR
8717 ROSALIE AVE
BRENTWOOD, MO 63144-2027
Phone number: 314-497-9409
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