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1972336683
ETHAN MOSS
CLERMONT, FL
NPI
1972336683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11034243)
Enumeration Date
2024-08-20
Last Update Date
2024-08-28
Business Address
ETHAN MOSS
210 N HIGHWAY 27 STE 4
CLERMONT, FL 34711-2411
Phone number: 352-988-6673
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Mailing Address
ETHAN MOSS
210 N HIGHWAY 27 STE 4
CLERMONT, FL 34711-2411
Phone number:
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