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Individual
GILBERT WAYNE POMEROY
Active
Individual
GILBERT WAYNE POMEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
4704156269
MI
363L00000X
Nurse Practitioner
Primary
4704156269
MI
Other
Enumeration date
02/08/2008
Last updated
03/04/2024
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