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Individual
WILLIAM CLEMENT MOSS JR.
Active
Individual
WILLIAM CLEMENT MOSS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
200761
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2375211
—
LA
Enumeration date
09/22/2014
Last updated
01/07/2026
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