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1396461604
KAWANZA S GREEN
FORT MYERS, FL
NPI
1396461604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: FL CNA321992)
Enumeration Date
2022-10-18
Last Update Date
2022-10-18
Business Address
KAWANZA S GREEN
3022 GUAVA ST
FORT MYERS, FL 33916-1910
Phone number: 239-295-1803
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Mailing Address
KAWANZA S GREEN
3022 GUAVA ST
FORT MYERS, FL 33916-1910
Phone number: 239-295-1803
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