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1083672190
TIMOTHY GLEN MOORE
TALLAHASSEE, FL
NPI
1083672190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: FL OPC 1490)
Enumeration Date
2006-05-01
Last Update Date
2021-05-20
Business Address
TIMOTHY GLEN MOORE O.D.
1491 GOVERNORS SQUARE BLVD
TALLAHASSEE, FL 32301-3049
Phone number: 850-383-3322
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Mailing Address
TIMOTHY GLEN MOORE O.D.
PO BOX 15349
TALLAHASSEE, FL 32317-5349
Phone number: 850-383-3322
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