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1558830596
LISA GREEN
TYLER, TX
NPI
1558830596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 739389)
Enumeration Date
2018-11-20
Last Update Date
2018-11-20
Business Address
LISA GREEN
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-592-8001
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Mailing Address
LISA GREEN
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-592-8001
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