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1073815882
STEPHEN G MOORE
BLOOMINGTON, IN
NPI
1073815882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: IN 01044533A)
Enumeration Date
2010-11-30
Last Update Date
2010-11-30
Business Address
Dr. STEPHEN G MOORE M.D.
2749 E COVENANTER DR
BLOOMINGTON, IN 47401-5454
Phone number: 812-332-2265
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Mailing Address
Dr. STEPHEN G MOORE M.D.
2749 E COVENANTER DR
BLOOMINGTON, IN 47401-5454
Phone number: 812-332-2265
Copy
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