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Individual

MR. BRIAN R MOYLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BSN, RN

Contact information

Practice address
988 ARMY DR., STE. 4, BARRIGADA, GU 96913
(671) 475-4005
(671) 475-4006
Mailing address
P.O. BOX 217787, GMF BARRIGADA, GU 96921
(671) 475-4005
(671) 475-4006

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RX0524
GU

Other

Enumeration date
10/13/2010
Last updated
10/13/2010
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