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1801395967
MARY KIMBERLY GREEN
BOWLING GREEN, KY
NPI
1801395967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY 3011907)
Enumeration Date
2018-02-05
Last Update Date
2018-02-05
Business Address
MARY KIMBERLY GREEN APRN
1035 PORTER PIKE
BOWLING GREEN, KY 42103-9581
Phone number: 270-843-1199
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Mailing Address
MARY KIMBERLY GREEN APRN
880 OLD TRAM RD
BOWLING GREEN, KY 42101-9021
Phone number: 270-799-2268
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