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Individual
ROBERT MOORE
Active
Individual
ROBERT MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704353754
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704353754
MI
Other
Enumeration date
12/19/2022
Last updated
02/14/2023
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