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Individual

MR. GREGORY CHARLES GRAHEK

Active
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Individual

MR. GREGORY CHARLES GRAHEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-BC

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
173720-5414
CO
363LF0000X
Family Nurse Practitioner
5441
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
333409528
CO
01
RXN 08-123
STATE RXN
CO
Enumeration date
08/27/2007
Last updated
01/07/2025
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