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1992772073
SHANNON GREEN
GREENVILLE, SC
NPI
1992772073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 2699)
Enumeration Date
2006-03-07
Last Update Date
2011-11-17
Business Address
-- SHANNON GREEN APRN
2 INNOVATION DRIVE SUITE 140
GREENVILLE, SC 29605-5263
Phone number: 864-295-1750
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Mailing Address
-- SHANNON GREEN APRN
2 INNOVATION DRIVE SUITE 140
GREENVILLE, SC 29607-5263
Phone number: 864-295-1750
Copy
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