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1043045537
MATTHEW DOUGLAS MOORE
DALLAS, GA
NPI
1043045537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WA2000X Registered Nurse, Administrator
(Licence: GA RN266385)
Enumeration Date
2024-09-04
Last Update Date
2024-09-04
Business Address
MATTHEW DOUGLAS MOORE BSN, RN
88 SPARKLEBERRY LN E
DALLAS, GA 30132-7578
Phone number: 770-605-7982
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Mailing Address
MATTHEW DOUGLAS MOORE BSN, RN
88 SPARKLEBERRY LN E
DALLAS, GA 30132-7578
Phone number:
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