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Individual
MICHELLE GOULD
Active
Individual
MICHELLE GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
497706
CA
363L00000X
Nurse Practitioner
Primary
NP95003409
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
497706
CLINICAL LICENSE
CA
Enumeration date
03/06/2009
Last updated
05/29/2020
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