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Individual
MONICA TRECHELE MCGOWAN
Active
Individual
MONICA TRECHELE MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R149268
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003128580A
—
GA
05
—
003128580D
—
GA
05
—
003128580E
—
GA
05
—
003128580F
—
GA
05
—
003128580G
—
GA
05
—
003128580H
—
GA
05
—
003128580J
—
GA
Enumeration date
05/18/2012
Last updated
12/23/2014
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