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1871890368
MICHAEL D MOODY
ALEXANDRIA, LA
NPI
1871890368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA applied)
Enumeration Date
2011-02-17
Last Update Date
2011-02-17
Business Address
-- MICHAEL D MOODY CRNA
1444 PETERMAN DR
ALEXANDRIA, LA 71301-3432
Phone number: 318-442-5399
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Mailing Address
-- MICHAEL D MOODY CRNA
PO BOX 5887
ALEXANDRIA, LA 71307-5887
Phone number: 318-442-5399
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