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1396118634
DARICA GREEN
SHREVEPORT, LA
NPI
1396118634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WM0705X Registered Nurse, Medical-Surgical
(Licence: LA 140249)
Enumeration Date
2015-11-09
Last Update Date
2015-11-09
Business Address
-- DARICA GREEN
9730 BAIRD RD APT 1421
SHREVEPORT, LA 71118-3822
Phone number: 318-550-7655
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Mailing Address
-- DARICA GREEN
9730 BAIRD RD APT 1421
SHREVEPORT, LA 71118-3822
Phone number: 318-550-7655
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