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1063714046
TARA THOMPSON MOORE
COCHRAN, GA
NPI
1063714046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN164184)
Enumeration Date
2010-11-24
Last Update Date
2010-11-24
Business Address
Mrs. TARA THOMPSON MOORE
426 GA HIGHWAY 26 E
COCHRAN, GA 31014-2837
Phone number: 478-934-2874
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Mailing Address
Mrs. TARA THOMPSON MOORE
426 GA HIGHWAY 26 E
COCHRAN, GA 31014-2837
Phone number: 478-934-2874
Copy
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