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1790306637
BARBARA R. GREEN
JACKSONVILLE, FL
NPI
1790306637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: FL 11006904)
Enumeration Date
2020-05-01
Last Update Date
2022-02-11
Business Address
Mrs. BARBARA R. GREEN
7451 103RD ST STE 8
JACKSONVILLE, FL 32210-9300
Phone number: 904-683-4968
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Mailing Address
Mrs. BARBARA R. GREEN
2675 WINKLER AVE FL 2
FORT MYERS, FL 33901-9342
Phone number: 877-856-3774
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