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1891217865
WILLIE FAYE GREEN
LOS ANGELES, CA
NPI
1891217865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP2201X Registered Nurse, Ambulatory Care
(Licence: CA 528977)
Enumeration Date
2017-07-12
Last Update Date
2017-07-12
Business Address
WILLIE FAYE GREEN
1100 N STATE ST
LOS ANGELES, CA 90033-5000
Phone number: 323-409-3173
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Mailing Address
WILLIE FAYE GREEN
1100 N STATE ST
LOS ANGELES, CA 90033-5000
Phone number:
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