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Individual
SCOTT MOULTON
Active
Individual
SCOTT MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
F.N.P., R.N., D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
6383
TX
363LF0000X
Family Nurse Practitioner
Primary
774434
TX
Other
Enumeration date
12/19/2006
Last updated
12/10/2019
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