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Individual
MR. EDWARD RAYMOND COURTEMANCHE
Active
Individual
MR. EDWARD RAYMOND COURTEMANCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN ANP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
4704221729
MI
163WX0106X
Occupational Health Registered Nurse
RN335752
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
4704221729
MI
Other
Enumeration date
09/24/2011
Last updated
09/02/2021
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