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Individual
VICKIE L GREGORY
Active
Individual
VICKIE L GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M., N.P.,R.N.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
VG109468
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102843181
—
MI
01
—
104029
MCLAREN
MI
05
—
104088886
—
MI
05
—
114694222
—
MI
Enumeration date
10/06/2006
Last updated
03/17/2018
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