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Individual
KRISTA MARY ANN MOORMAN
Active
Individual
KRISTA MARY ANN MOORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
14214136-1206
UT
363A00000X
Physician Assistant
14214136-8906
UT
363A00000X
Physician Assistant
Primary
PA60443
CA
Other
Enumeration date
10/06/2021
Last updated
07/01/2026
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