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Individual
GREGORY COURSON
Active
Individual
GREGORY COURSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
47996
WY
363LA2200X
Adult Health Nurse Practitioner
47996
WY
363LG0600X
Gerontology Nurse Practitioner
47996
WY
Other
Enumeration date
06/17/2021
Last updated
11/03/2022
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