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1033967963
MADISON MOORE
COVINGTON, LA
NPI
1033967963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: LA 212861)
Enumeration Date
2024-05-07
Last Update Date
2024-05-07
Business Address
MADISON MOORE
1202 S TYLER ST
COVINGTON, LA 70433-2330
Phone number: 985-898-4000
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Mailing Address
MADISON MOORE
18318 BELLINGRATH LAKES AVE
GREENWELL SPRINGS, LA 70739-4760
Phone number: 225-933-1416
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