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1811563919
LISA MARIE HANNAH GREEN
POWDER SPRINGS, GA
NPI
1811563919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WA2000X Registered Nurse, Administrator
(Licence: GA Rn169214)
Enumeration Date
2021-05-28
Last Update Date
2021-05-28
Business Address
-- LISA MARIE HANNAH GREEN RN
3152 SUMMERTON CT
POWDER SPRINGS, GA 30127-7033
Phone number: 678-598-0445
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Mailing Address
-- LISA MARIE HANNAH GREEN RN
1750 POWDER SPRINGS RD SW STE 190-269
MARIETTA, GA 30064-4850
Phone number: 678-598-0445
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