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1104990654
GEORGE C MOORE
MINNEAPOLIS, MN
NPI
1104990654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 10165)
Enumeration Date
2006-11-17
Last Update Date
2023-10-16
Business Address
GEORGE C MOORE PA-C
701 PARK AVE # 08
MINNEAPOLIS, MN 55415-1623
Phone number: 612-873-2212
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Mailing Address
GEORGE C MOORE PA-C
701 PARK AVE
MINNEAPOLIS, MN 55415-1623
Phone number: 612-873-3000
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