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1558331439
PHYLLIS R GREEN
CEDAR RAPIDS, IA
NPI
1558331439
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Former Name
PHYLLIS R BERG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: IA F-076357)
Enumeration Date
2006-01-24
Last Update Date
2010-11-10
Business Address
Ms. PHYLLIS R GREEN WHCNP
3425 1ST AVE SE SUITE 100
CEDAR RAPIDS, IA 52402-6155
Phone number: 319-363-3459
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Mailing Address
Ms. PHYLLIS R GREEN WHCNP
3425 1ST AVE SE SUITE 100
CEDAR RAPIDS, IA 52402-6155
Phone number: 319-363-3459
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