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Individual

MORTUMA J.T MURRY

Active
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Individual

MORTUMA J.T MURRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP, PNP-AC-PC

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
201808002RN
OR
363LA2100X
Acute Care Nurse Practitioner
Primary
202110719NP-PP
OR
363LP0200X
Pediatric Nurse Practitioner
202110719NP-PP
OR

Other

Enumeration date
06/11/2021
Last updated
10/14/2021
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