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Individual
RODMAN MOORE JR.
Active
Individual
RODMAN MOORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN632515
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028886870
—
PA
Enumeration date
06/18/2017
Last updated
06/18/2017
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