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Individual

DR. JACEY RAENELLE COURSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD.

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
8051143
VT
231H00000X
Audiologist
Primary
A.02229
OH
231H00000X
Audiologist
A615
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0377941
OH
05
1021087
VT
05
3084249
NH
Enumeration date
09/25/2012
Last updated
08/06/2026
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