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1841584471
DOUGLAS KEITH GREEN
SALT LAKE CITY, UT
NPI
1841584471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: UT 7856839-3102)
Enumeration Date
2011-05-31
Last Update Date
2011-05-31
Business Address
-- DOUGLAS KEITH GREEN RN
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
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Mailing Address
-- DOUGLAS KEITH GREEN RN
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
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