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Individual
GREGORY FURNESS
Active
Individual
GREGORY FURNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2046
OH
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0289PA
—
SC
Enumeration date
07/29/2005
Last updated
07/28/2009
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