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1619637832
TAMIKA GREEN
PETERSBURG, VA
NPI
1619637832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: VA 0002071854)
Enumeration Date
2021-12-29
Last Update Date
2021-12-29
Business Address
TAMIKA GREEN LPN
514 BYRNE ST
PETERSBURG, VA 23803-5002
Phone number: 804-721-7305
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Mailing Address
TAMIKA GREEN LPN
514 BYRNE ST
PETERSBURG, VA 23803-5002
Phone number: 804-721-7305
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