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Individual
KIM GENET MOFFATT-BAZILE
Active
Individual
KIM GENET MOFFATT-BAZILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
APRN001811
NV
163WP0200X
Pediatric Registered Nurse
RN80724
NV
363L00000X
Nurse Practitioner
Primary
8485
CA
Other
Enumeration date
02/23/2007
Last updated
05/16/2019
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