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Individual
MR. BRENT DONMOYER
Active
Individual
MR. BRENT DONMOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN526107L
PA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN526107L
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R155630
MD
Other
Enumeration date
05/11/2017
Last updated
11/08/2023
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