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Individual
MICHAEL KEITH DEFORD
Active
Individual
MICHAEL KEITH DEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
10016237
OR
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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