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1063490290
MILAN SHANNON MOORE
OLYMPIA, WA
NPI
1063490290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: WA MD00039784)
Enumeration Date
2006-01-06
Last Update Date
2024-01-20
Business Address
Dr. MILAN SHANNON MOORE MD
3901 CAPITAL MALL DR SW STE A
OLYMPIA, WA 98502-8654
Phone number: 360-786-8990
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Mailing Address
Dr. MILAN SHANNON MOORE MD
PO BOX 368
OLYMPIA, WA 98507-0368
Phone number: 360-491-8439
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