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1114508488
TERRICA MOORE
SOUTHAVEN, MS
NPI
1114508488
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Other Name
EDTERRICA MOORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TN 202019164)
Enumeration Date
2021-04-19
Last Update Date
2021-04-19
Business Address
TERRICA MOORE DNP, CPNP-PC
3674 GOODMAN RD E
SOUTHAVEN, MS 38672-6402
Phone number: 662-890-7747
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Mailing Address
TERRICA MOORE DNP, CPNP-PC
6919 LAGRANGE PINES RD
CORDOVA, TN 38018-2857
Phone number: 901-596-6657
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