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Individual
JOHN MOO WOOD
Active
Individual
JOHN MOO WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10023
MN
363L00000X
Nurse Practitioner
Primary
101.0137193
VT
Other
Enumeration date
11/09/2021
Last updated
11/12/2024
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