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1548644693
HOLLY GREEN
FARMINGTON, MO
NPI
1548644693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376G00000X Nursing Home Administrator
(Licence: MO 043352)
Enumeration Date
2015-07-17
Last Update Date
2015-07-17
Business Address
-- HOLLY GREEN
3688 SAND CREEK RD
FARMINGTON, MO 63640-7350
Phone number: 573-756-2917
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Mailing Address
-- HOLLY GREEN
3688 SAND CREEK RD
FARMINGTON, MO 63640-7350
Phone number: 573-756-2917
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