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Individual
NICOLE MARIE GOGUEN
Active
Individual
NICOLE MARIE GOGUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704274612
MI
363L00000X
Nurse Practitioner
Primary
4704274612
MI
363LA2100X
Acute Care Nurse Practitioner
4704274612
MI
Other
Enumeration date
04/15/2015
Last updated
02/11/2026
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