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1619070976
SHERRI LUCKY GREEN
TALLAHASSEE, FL
NPI
1619070976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9102290)
Enumeration Date
2006-09-05
Last Update Date
2007-07-08
Business Address
-- SHERRI LUCKY GREEN PA-C
137 COLLEGIATE WAY-FSU/TSHC
TALLAHASSEE, FL 32306-2140
Phone number: 850-644-5838
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Mailing Address
-- SHERRI LUCKY GREEN PA-C
5885 CYPRESS CIR
TALLAHASSEE, FL 32303-6708
Phone number: 850-459-2454
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