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1699702761
MITRA MARIE GREEN
MONROE, LA
NPI
1699702761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: LA 020108)
Enumeration Date
2006-06-26
Last Update Date
2023-04-11
Business Address
MITRA MARIE GREEN M.D.
3421 MEDICAL PARK DR
MONROE, LA 71203-2355
Phone number: 318-376-7337
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Mailing Address
MITRA MARIE GREEN M.D.
1601 LAMY LN
MONROE, LA 71201-3735
Phone number: 318-387-3453
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