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1063723260
LAPONNA RAE IRVINE-MOORE
FORT WORTH, TX
NPI
1063723260
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Former Name
LAPONNA RAE IRVINE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX N4494)
Enumeration Date
2010-06-23
Last Update Date
2023-06-15
Business Address
LAPONNA RAE IRVINE-MOORE D.O.
5701 BRYANT IRVIN RD SUITE 304
FORT WORTH, TX 76132-4029
Phone number: 817-361-5037
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Mailing Address
LAPONNA RAE IRVINE-MOORE D.O.
5701 BRYANT IRVIN RD SUITE 304
FORT WORTH, TX 76132-4029
Phone number: 817-361-5037
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