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1467699025
INA GREEN
DEL CITY, OK
NPI
1467699025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 1010)
Enumeration Date
2009-01-19
Last Update Date
2009-01-19
Business Address
-- INA GREEN PAC
4335 SE 15TH ST
DEL CITY, OK 73115-3001
Phone number: 405-600-9988
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Mailing Address
-- INA GREEN PAC
PO BOX 14587
OKLAHOMA CITY, OK 73113-0587
Phone number: 405-600-9988
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