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1114014867
TERRY LYNN MOORE
ST. LOUIS, MO
NPI
1114014867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RR0500X Internal Medicine, Rheumatology
(Licence: MO 34667)
Enumeration Date
2006-10-06
Last Update Date
2021-01-22
Business Address
Dr. TERRY LYNN MOORE M.D.
1225 S. GRAND
ST. LOUIS, MO 63104
Phone number: 314-977-8838
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Mailing Address
Dr. TERRY LYNN MOORE M.D.
1402 S GRAND BLVD RM R213A
SAINT LOUIS, MO 63104-1004
Phone number: 314-977-8838
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