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1639697386
PHILLIP EDWARD GREEN
MINNEAPOLIS, MN
NPI
1639697386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN 2126)
Enumeration Date
2017-09-01
Last Update Date
2017-11-03
Business Address
PHILLIP EDWARD GREEN
800 E 28TH ST
MINNEAPOLIS, MN 55407-3723
Phone number: 612-863-4000
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Mailing Address
PHILLIP EDWARD GREEN
2040 SHENANDOAH CT UNIT C
PLYMOUTH, MN 55447-6421
Phone number: 320-237-6548
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