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1073989059
CAROLYN MOORE
GOODLETTSVILLE, TN
NPI
1073989059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 20022)
Enumeration Date
2015-08-13
Last Update Date
2015-08-13
Business Address
-- CAROLYN MOORE FNP
450 PROFESSIONAL PARK DR
GOODLETTSVILLE, TN 37072-2180
Phone number: 615-859-1440
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Mailing Address
-- CAROLYN MOORE FNP
3613 WALLABY PL
MOUNT JULIET, TN 37122-7590
Phone number: 317-874-6899
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