Provider Information for 1851925606
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BILLIE JO GREEN PLPC, PSC
Sex: Female
NPI: 1851925606
Last Updated: 2020-03-02
Certification Date: 2020-03-02
Certification Date: 2020-03-02
Details
| Name | Value | ||||||||||||||||
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| NPI | 1851925606 | ||||||||||||||||
| Enumeration Date | 2020-03-02 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 891 SECRET VALLEY RD CRANE, MO 65633-7200 United States Phone: 417-840-9241 | Fax: | ||||||||||||||||
| Primary Practice Address | 891 SECRET VALLEY RD CRANE, MO 65633-7200 United States Phone: 417-840-9241 | Fax: | ||||||||||||||||
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