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1003943796
MARY JANE MOORE
BIRMINGHAM, AL
NPI
1003943796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-026106)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
-- MARY JANE MOORE CRNP
700 19TH ST S
BIRMINGHAM, AL 35233-1927
Phone number: 205-933-8101
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Mailing Address
-- MARY JANE MOORE CRNP
4405 S SHADES CREST RD
BESSEMER, AL 35022
Phone number: 205-481-3566
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