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Individual
NELLY A MORALES
Active
Individual
NELLY A MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004172
MD
363A00000X
Physician Assistant
PA9108689
FL
Other
Enumeration date
06/08/2010
Last updated
11/09/2015
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