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Individual

CORY ANTHONY GROWDEN

Active
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Individual

CORY ANTHONY GROWDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CCMA, CPT

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
2472E0500X
EEG Technician
251E00000X
Home Health Agency
251F00000X
Home Infusion Agency
261QI0500X
Infusion Therapy Clinic/Center
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
Primary
NV
3747P1801X
Personal Care Attendant

Other

Enumeration date
05/15/2025
Last updated
05/15/2025
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