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Individual
MOODY COPPER LABAST INABANGAN
Active
Individual
MOODY COPPER LABAST INABANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0078302
CO
207Q00000X
Family Medicine Physician
TL.0010843
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TL.0010843
CO
Other
Enumeration date
11/05/2024
Last updated
09/15/2026
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