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1114323276
MARK ANDREW MOON
TUBA CITY, AZ
NPI
1114323276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AZ TRN188947)
Enumeration Date
2014-11-17
Last Update Date
2014-11-17
Business Address
Mr. MARK ANDREW MOON R.N.
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
Mr. MARK ANDREW MOON R.N.
PO BOX 600 PFS BUSINESS OFFICE
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2781
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