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Individual
MATT LOGAN WOOLFORD
Active
Individual
MATT LOGAN WOOLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
670286
TX
Other
Enumeration date
10/01/2007
Last updated
04/07/2016
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