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1679547681
DANIEL NICK GREEN
SHREVEPORT, LA
NPI
1679547681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: LA 71606)
Enumeration Date
2006-02-15
Last Update Date
2007-07-08
Business Address
Mr. DANIEL NICK GREEN RN
9282 LYTHAM DR
SHREVEPORT, LA 71129-4834
Phone number: 318-688-5112
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Mailing Address
Mr. DANIEL NICK GREEN RN
9282 LYTHAM DR
SHREVEPORT, LA 71129-4834
Phone number: 318-688-5112
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