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1033405220
DEREK CECIL MOORE
WESTLAKE, OH
NPI
1033405220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: KS 05-37542)
Enumeration Date
2011-06-26
Last Update Date
2016-10-20
Business Address
Dr. DEREK CECIL MOORE D.O.
29000 CENTER RIDGE RD SUITE 150
WESTLAKE, OH 44145-5293
Phone number: 440-827-5566
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Mailing Address
Dr. DEREK CECIL MOORE D.O.
156 SOMERSET LN APT 12
AVON LAKE, OH 44012-3210
Phone number: 620-845-0116
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