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Individual
MOORE LUCK TRINIDAD
Active
Individual
MOORE LUCK TRINIDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9946
MN
Other
Enumeration date
02/13/2023
Last updated
11/13/2023
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