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Individual
IAN RUSSELL MOORE
Active
Individual
IAN RUSSELL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
RN.327298
OH
363LF0000X
Family Nurse Practitioner
Primary
1045702
TX
363LF0000X
Family Nurse Practitioner
APRN.CNP.019597
OH
Other
Enumeration date
05/11/2016
Last updated
10/04/2021
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