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JENNIFER DEAN GREEN

>> Day Training/Habilitation Specialist >> Nursing Service Related Providers

Registrant NPI Number: 1568946978

Individual Registrant:
 JENNIFER DEAN GREEN 
Gender: F
Sole Proprietor

Location and contact information for practice:
523 2ND ST E  SCOTT CITY, MO 63780-2418 US
Tel: 573-264-5030  Fax: --

Contact information for business:
523 2ND ST E  SCOTT CITY, MO 63780-2418 US
Tel: --  Fax: --

Registration Information:
NPI: 1568946978
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y373H00000XNursing Service Related Providers
Day Training/Habilitation Specialist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MO - Page 1



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