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Individual
GREGORY V POULIN
Active
Individual
GREGORY V POULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
626529
TX
363LA2100X
Acute Care Nurse Practitioner
0370815-28
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP11810
TX
Other
Enumeration date
08/07/2006
Last updated
10/04/2018
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