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Individual
CORIE L CONNOR
Active
Individual
CORIE L CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28162979A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71008080A
IN
Other
Enumeration date
01/17/2018
Last updated
03/25/2021
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