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1992340780
NIKOLE L GREEN
LANSING, MI
NPI
1992340780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703096060)
Enumeration Date
2019-11-15
Last Update Date
2019-11-15
Business Address
NIKOLE L GREEN
2025 S WASHINGTON AVE STE 210
LANSING, MI 48910-0817
Phone number: 517-371-1111
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Mailing Address
NIKOLE L GREEN
421 S BUTLER BLVD APT 1
LANSING, MI 48915-2527
Phone number: 517-371-1111
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