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1487683074
SPARKLE GREEN
LAKE CITY, FL
NPI
1487683074
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Professional Name
GOLDIE SPARKLE GREEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL 1181972)
Enumeration Date
2006-07-03
Last Update Date
2014-03-19
Business Address
Ms. SPARKLE GREEN ARNP
173 NW ALBRITTON LN
LAKE CITY, FL 32055-4451
Phone number: 386-755-4020
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Mailing Address
Ms. SPARKLE GREEN ARNP
911 S MAIN ST
TRENTON, FL 32693-3239
Phone number: 352-463-2374
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