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1164821997
KELLY GREEN
FORT STEWART, GA
NPI
1164821997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WE0003X Registered Nurse, Emergency
(Licence: GA RN 178967)
Enumeration Date
2014-08-18
Last Update Date
2014-08-20
Business Address
-- KELLY GREEN
1061 HARMON AVE WINN ARMY COMMUNITY HOSPITAL
FORT STEWART, GA 31314-5641
Phone number: 912-435-6512
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Mailing Address
-- KELLY GREEN
909 BRADWELL ST
HINESVILLE, GA 31313-2204
Phone number:
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