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Individual
MR. MARTIN LOUIS MOORE
Active
Individual
MR. MARTIN LOUIS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN RN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN000704
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500026966
MEDICARE RAILROAD
NV
Enumeration date
10/06/2005
Last updated
05/23/2018
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