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1871109017
STEPHANIE GREEN
PUYALLUP, WA
NPI
1871109017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WA AP61132596)
Enumeration Date
2020-09-22
Last Update Date
2024-09-10
Business Address
STEPHANIE GREEN FNP
3908 10TH ST SE
PUYALLUP, WA 98374-2188
Phone number: 253-848-5951
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Mailing Address
STEPHANIE GREEN FNP
286 S LENZNER AVE
SIERRA VISTA, AZ 85635-5685
Phone number: 520-452-0388
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