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1366062754
STACY P GREEN
NEW ORLEANS, LA
NPI
1366062754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 212276)
Enumeration Date
2020-04-26
Last Update Date
2020-04-26
Business Address
STACY P GREEN
5646 READ BLVD STE 380
NEW ORLEANS, LA 70127-3148
Phone number: 504-518-5822
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Mailing Address
STACY P GREEN
5646 READ BLVD STE 380
NEW ORLEANS, LA 70127-3148
Phone number: 504-518-5822
Copy
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