Myron B Green

NPI 1609044122 - Community Health Worker - 172V00000X

NPI Details
NPI 1609044122
Gender Male
Enumeration Date 02/19/2008
Last Updated 02/19/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
7758 JANERO COURT SOUTH
COTTAGE GROVE MN, 55016, US
Phone (651) 459-5023
Fax
Business Location
7758 JANERO COURT SOUTH
COTTAGE GROVE MN, 55016, US
Phone (651) 459-5023
Fax
Toxanomy
Taxonomy Code 172V00000X
License State
License Number
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According to our database, Mr. Myron B Green NPI is 1609044122, taxonomy code is 172V00000X Myron B Green physically located at 7758 Janero Court South, Cottage Grove MN, 55016. NPI Number Myron B Green has the Individual type.

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1609044122 NPI number is provided on an as is basis without warranty of any kind. 1609044122 is maintained by the National Plan & Provider Enumeration System. The contents of Myron B Green are for informational purposes only.