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1396329207
GEORGIA LEE GREEN
INDIANOLA, MS
NPI
1396329207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MS P281148)
Enumeration Date
2021-05-06
Last Update Date
2021-05-06
Business Address
Mrs. GEORGIA LEE GREEN
312 JANET DAVIS CIRCLE
INDIANOLA, MS 38751-3753
Phone number: 662-207-3020
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Mailing Address
Mrs. GEORGIA LEE GREEN
312 JANET DAVIS CIRCLE
INDIANOLA, MS 38751-3753
Phone number:
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