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Individual
MR. LARRY J GOISSE
Active
Individual
MR. LARRY J GOISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN577684
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP014433
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245766310
PRACTICE NPI
—
05
—
1437555109
—
PA
Enumeration date
11/07/2014
Last updated
07/21/2022
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