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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X |
| NPI Number | 1295573178 |
| LBN Legal business name | GREEN IOWA LLC |
| Authorized official | EDWARD SCHNEIDERS - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/16/2024 |
| Last updated | 07/16/2024 - More than a year ago |
| Identifiers | n/a |
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GREEN IOWA LLC
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GREEN IOWA LLC