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Individual
MARK COREY
Active
Individual
MARK COREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
093007080N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023015
—
OR
Enumeration date
11/08/2005
Last updated
03/27/2014
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