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1356659221
JENNIFER GREEN
BELLEVUE, NE
NPI
1356659221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IA P54382)
Enumeration Date
2010-09-14
Last Update Date
2010-09-14
Business Address
-- JENNIFER GREEN LPN
2231 LINCOLN RD
BELLEVUE, NE 68005-3907
Phone number: 402-291-1203
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Mailing Address
-- JENNIFER GREEN LPN
2526 AVENUE A
COUNCIL BLUFFS, IA 51501-2269
Phone number: 402-981-8640
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