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Individual

MRS. TONI JEANNE MOORE- DUGGAN MS, CRNP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CRNP

Contact information

Practice address
523 HARWOOD AVE, BALTIMORE, MD 21212-3914
(410) 532-8477
Mailing address
523 HARWOOD AVE, BALTIMORE, MD 21212-3914
(410) 532-8477

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R053926
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
865200700
MD
Enumeration date
03/17/2009
Last updated
05/12/2014
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