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Individual
MR. MICHAEL DON MOSS
Active
Individual
MR. MICHAEL DON MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
101-0091635
VT
363LF0000X
Family Nurse Practitioner
048005-23
NH
363LF0000X
Family Nurse Practitioner
Primary
AP139907
TX
Other
Enumeration date
03/02/2011
Last updated
02/10/2023
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