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Individual
DR. MARK TYLER MOORE
Active
Individual
DR. MARK TYLER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AUD
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3334
CA
231H00000X
Audiologist
9806481-4101
UT
Other
Enumeration date
05/27/2016
Last updated
02/11/2022
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