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1851097208
MATTHEW J MOODY
ALBUQUERQUE, NM
NPI
1851097208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM 55193)
Enumeration Date
2023-02-06
Last Update Date
2024-01-09
Business Address
MATTHEW J MOODY FNP
7301 JEFFERSON ST NE STE G
ALBUQUERQUE, NM 87109-4363
Phone number: 505-922-9800
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Mailing Address
MATTHEW J MOODY FNP
4311 STATE HIGHWAY 14
SANTA FE, NM 87508-1530
Phone number: 505-827-8535
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