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Individual
JOHN WAYNE MOORE
Active
Individual
JOHN WAYNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-087639
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-087639
LICENSE
AL
Enumeration date
04/04/2013
Last updated
04/21/2023
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