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Individual
GALE MOORE
Active
Individual
GALE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
R525294
MS
367A00000X
Advanced Practice Midwife
Primary
R525294
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00111153
—
MS
Enumeration date
10/17/2006
Last updated
01/04/2012
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