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1629637459
CANDICE CAMILLE GREEN
MEMPHIS, TN
NPI
1629637459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: TN 170003387)
Enumeration Date
2019-06-05
Last Update Date
2019-06-05
Business Address
CANDICE CAMILLE GREEN CLPN
5100 POPLAR AVE FL 27
MEMPHIS, TN 38137-2701
Phone number: 662-815-0547
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Mailing Address
CANDICE CAMILLE GREEN CLPN
5100 POPLAR AVE FL 27
MEMPHIS, TN 38137-2701
Phone number: 662-815-0547
Copy
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