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Individual
MR. RON ALAN MOORE
Active
Individual
MR. RON ALAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
349292
OH
163WM0705X
Medical-Surgical Registered Nurse
Primary
349292
OH
373H00000X
Day Training/Habilitation Specialist
349292
OH
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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