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Individual
MARY GAIL MOODY
Active
Individual
MARY GAIL MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
240005
TX
363L00000X
Nurse Practitioner
Primary
AP106303
TX
Other
Enumeration date
06/14/2006
Last updated
10/02/2024
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