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1477047884
SHANELL S GREENE
PHILADELPHIA, PA
NPI
1477047884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251G00000X Hospice Care, Community Based
Enumeration Date
2018-06-19
Last Update Date
2018-06-19
Business Address
Dr. SHANELL S GREENE
542 S 54TH ST
PHILADELPHIA, PA 19143-1916
Phone number: 267-904-5987
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Mailing Address
Dr. SHANELL S GREENE
542 S 54TH ST
PHILADELPHIA, PA 19143-1916
Phone number: 267-904-5987
Copy
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