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1871817379
GLENN A. MOULDER
CHARLOTTESVILLE, VA
NPI
1871817379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208M00000X Hospitalist
(Licence: VA 0101253569)
Enumeration Date
2010-03-26
Last Update Date
2020-10-07
Business Address
GLENN A. MOULDER M.D.
1215 LEE ST
CHARLOTTESVILLE, VA 22908-0001
Phone number: 434-243-4288
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Mailing Address
GLENN A. MOULDER M.D.
PO BOX 9007
CHARLOTTESVILLE, VA 22906-9007
Phone number:
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