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1174843742
CHARLOTTE RENAE GREEN
TUPELO, MS
NPI
1174843742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS R853585)
Enumeration Date
2010-06-07
Last Update Date
2010-06-07
Business Address
Ms. CHARLOTTE RENAE GREEN PMHNP-BC
4579 S EASON BLVD
TUPELO, MS 38801-6539
Phone number: 662-377-7590
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Mailing Address
Ms. CHARLOTTE RENAE GREEN PMHNP-BC
4579 S EASON BLVD
TUPELO, MS 38801-6539
Phone number: 662-377-7590
Copy
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