MARY ALEXIS K GREEN

SHREVEPORT, LA
NPI1366436487
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  PA.200024)
Enumeration Date2005-09-02
Last Update Date2020-12-11
Business Address
MARY ALEXIS K GREEN PA-C
1455 E BERT KOUNS LOOP
SHREVEPORT, LA 71105-5634
Phone number: 318-798-4623
Mailing Address
MARY ALEXIS K GREEN PA-C
1455 E BERT KOUNS LOOP
SHREVEPORT, LA 71105-5634
Phone number: 318-798-4623
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