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Individual

DANIEL MOSE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS

Contact information

Practice address
4520 EXECUTIVE PARK DR, SUITE B-100, MONTGOMERY, AL 36116-1619
(334) 270-3181
(334) 270-5805
Mailing address
6920 OAK SIDE DR, MONTGOMERY, AL 36117-7609
(188) 834-5723

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
04/04/2007
Last updated
07/08/2007
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