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Individual
PATRICK JORDAN GREGORY
Active
Individual
PATRICK JORDAN GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
132793
OH
163W00000X
Registered Nurse
1141024
KY
163W00000X
Registered Nurse
RN.403352
OH
363L00000X
Nurse Practitioner
Primary
3016146
KY
363L00000X
Nurse Practitioner
APRN.CNP.0028942
OH
Other
Enumeration date
06/02/2021
Last updated
02/17/2022
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