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1073969101
SAMANTHA MOORE
OLYMPIA, WA
NPI
1073969101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA 60671181)
Enumeration Date
2016-05-07
Last Update Date
2016-10-24
Business Address
-- SAMANTHA MOORE PA-C
500 LILLY RD NE
OLYMPIA, WA 98506-5195
Phone number: 360-413-8250
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Mailing Address
-- SAMANTHA MOORE PA-C
500 LILLY RD NE
OLYMPIA, WA 98506-5195
Phone number:
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