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Individual

MICHEL MOTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6320 CLINTON WAY, CLINTON, MD 20735-3925
(667) 280-0058
Mailing address
6320 CLINTON WAY, CLINTON, MD 20735-3925
(667) 280-0058

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
10/22/2024
Last updated
10/22/2024
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