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Individual

MR. EDWARD RAYMOND COURTEMANCHE

Active
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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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