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Individual
AMANDA MARIE MOE
Active
Individual
AMANDA MARIE MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
CM000100
SD
367A00000X
Advanced Practice Midwife
Primary
CM000100
SD
Other
Enumeration date
09/15/2022
Last updated
10/17/2024
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