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1609604859
CHARLES WESLEY GREEN
SHERMAN OAKS, CA
NPI
1609604859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 784730)
Enumeration Date
2024-07-22
Last Update Date
2024-07-22
Business Address
MR. CHARLES WESLEY GREEN FNP-BC, FNP-C
4445 COLBATH AVE APT 107
SHERMAN OAKS, CA 91423-3523
Phone number: 859-620-4762
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Mailing Address
MR. CHARLES WESLEY GREEN FNP-BC, FNP-C
4445 COLBATH AVE APT 107
SHERMAN OAKS, CA 91423-3523
Phone number: 859-620-4762
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