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1205992450
JEAN CAROLL GREEN-BLAIR
PORT CHARLOTTE, FL
NPI
1205992450
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Other Name
JEAN CAROLL GREEN-BLAIR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 3403762)
Enumeration Date
2006-12-29
Last Update Date
2013-08-26
Business Address
Mrs. JEAN CAROLL GREEN-BLAIR ARNP
1100 LOVELAND BLVD
PORT CHARLOTTE, FL 33980-1802
Phone number: 941-624-7200
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Mailing Address
Mrs. JEAN CAROLL GREEN-BLAIR ARNP
1100 LOVELAND BLVD
PORT CHARLOTTE, FL 33980-1802
Phone number: 941-624-7200
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