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Individual
MAX LAMOUR
Active
Individual
MAX LAMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
623254
NY
163WC1500X
Community Health Registered Nurse
623254
NY
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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