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1316513435
TIARA TIKELL GREEN
GREENVILLE, NC
NPI
1316513435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NC 5014483)
Enumeration Date
2021-05-29
Last Update Date
2024-10-04
Business Address
Dr. TIARA TIKELL GREEN DNP-AGPCNP
101 HEART DR
GREENVILLE, NC 27834-8982
Phone number: 252-744-2045
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Mailing Address
Dr. TIARA TIKELL GREEN DNP-AGPCNP
PO BOX 751069
CHARLOTTE, NC 28275-1069
Phone number:
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