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1447805742
EMILY GREEN
SHREVEPORT, LA
NPI
1447805742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: LA 207719)
Enumeration Date
2019-08-05
Last Update Date
2019-08-05
Business Address
EMILY GREEN WHNP-BC
2120 BERT KOUNS INDUSTRIAL LOOP STE A
SHREVEPORT, LA 71118-3351
Phone number: 318-688-3350
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Mailing Address
EMILY GREEN WHNP-BC
1421 W MARIA ST
BOSSIER CITY, LA 71112-3714
Phone number: 318-455-7708
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