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1508063355
ANN GREEN MOOSE
STATESVILLE, NC
NPI
1508063355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 201248)
Enumeration Date
2007-06-27
Last Update Date
2015-05-06
Business Address
Mrs. ANN GREEN MOOSE MSN, RN, FNP
1893 E BROAD ST # B-4
STATESVILLE, NC 28625-4307
Phone number: 704-766-1000
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Mailing Address
Mrs. ANN GREEN MOOSE MSN, RN, FNP
1304 ROYALTY CIR
STATESVILLE, NC 28625-8230
Phone number: 704-437-1384
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