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1174995096
HATTIE GREEN
BERKLEY, MI
NPI
1174995096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703018226)
Enumeration Date
2015-10-30
Last Update Date
2015-10-30
Business Address
Ms. HATTIE GREEN LPN
2766 W 11 MILE RD SUITE 2
BERKLEY, MI 48072-3033
Phone number: 248-542-2424
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Mailing Address
Ms. HATTIE GREEN LPN
2766 W 11 MILE RD SUITE 2
BERKLEY, MI 48072-3033
Phone number: 248-542-2424
Copy
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