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1639382807
LAGRETTA GREEN
CHICAGO, IL
NPI
1639382807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LC1500X Nurse Practitioner Community Health
(Licence: IL 209-000642)
Enumeration Date
2007-05-07
Last Update Date
2010-06-24
Business Address
LAGRETTA GREEN NP
200 E 115TH ST
CHICAGO, IL 60628-5015
Phone number: 312-747-2823
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Mailing Address
LAGRETTA GREEN NP
200 E 115TH ST
CHICAGO, IL 60628-5015
Phone number: 312-747-9505
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