JEFFERSON WILBURN MOORE

BATESVILLE, AR
NPI1104128867
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: AR  ATP-000312)
Enumeration Date2010-11-30
Last Update Date2010-11-30
Business Address
Mr. JEFFERSON WILBURN MOORE APN
1710 HARRISON ST
BATESVILLE, AR 72501-7303
Phone number: 870-262-1338
Mailing Address
Mr. JEFFERSON WILBURN MOORE APN
1710 HARRISON ST
BATESVILLE, AR 72501-7303
Phone number: 870-262-1338
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