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Individual
MR. ROBERT M MOYLON
Active
Individual
MR. ROBERT M MOYLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
104-0000126
VT
363A00000X
Physician Assistant
Primary
PA08623
TX
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
02/15/2007
Last updated
02/08/2015
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