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1932680816
MIMOKA GREEN
HARKER HEIGHTS, TX
NPI
1932680816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 343789)
Enumeration Date
2018-08-28
Last Update Date
2018-08-28
Business Address
MIMOKA GREEN
2404 LIMESTONE TRL
HARKER HEIGHTS, TX 76548-8909
Phone number: 318-792-7004
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Mailing Address
MIMOKA GREEN
4410 OAK VISTA CIR
KILLEEN, TX 76542-4616
Phone number: 318-792-7004
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