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Individual
JULIAN GOOD
Active
Individual
JULIAN GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP, PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
19109.0857
WY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
19109.0857
WY
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
19109.0857
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123919800
—
WY
Enumeration date
11/10/2005
Last updated
11/09/2016
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