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1558339184
LARA E GREEN
NORMAN, OK
NPI
1558339184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OK 1235)
Enumeration Date
2006-03-09
Last Update Date
2021-07-28
Business Address
LARA E GREEN PA-C
2821 36TH AVE NW STE 105
NORMAN, OK 73072-2471
Phone number: 405-515-2049
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Mailing Address
LARA E GREEN PA-C
PO BOX 1330
NORMAN, OK 73070-1330
Phone number: 405-307-6668
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