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Mallori Annmarie Green
Student in an Organized Health Care Education/Training Program in Broken Arrow, Oklahoma
NPI 1356054472

Mallori Annmarie Green is a Student in an Organized Health Care Education/Training Program based in Broken Arrow, OK. Mallori Annmarie Green practices in Broken Arrow, OK. The NPI Number for Mallori Annmarie Green is 1356054472 and holds a License No. (Oklahoma).

The current practice location address for Mallori Annmarie Green is 19917 E 45Th St S, Broken Arrow, OK and can be reached out via phone at 918-859-1387.

Location: 19917 E 45Th St S, Broken Arrow, OK, 74014-8212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356054472
Provider Name
Mallori Annmarie Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
19917 E 45Th St S, Broken Arrow, OK, 74014-8212
Phone Number
918-859-1387
Fax Number
Provider Enumeration Date
01/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19917 E 45Th St S
City
Broken Arrow
State
Oklahoma
Zip
74014-8212
Phone Number
918-859-1387
Fax Number
person
Provider Business Mailing Address Details
Address
19917 E 45Th St S
City
Broken Arrow
State
Oklahoma
Zip
74014-8212
Phone Number
918-859-1387
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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