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1730456088
LATASHA GREEN
BRONX, NY
NPI
1730456088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: NY 6088481)
Enumeration Date
2011-11-30
Last Update Date
2011-11-30
Business Address
-- LATASHA GREEN
1510 WATERS PL
BRONX, NY 10461-2700
Phone number: 718-409-9433
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Mailing Address
-- LATASHA GREEN
1510 WATERS PL
BRONX, NY 10461-2700
Phone number: 718-409-9433
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