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1114907771
CONNIE JEAN MOORE
FORT BELVOIR, VA
NPI
1114907771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: VA 0024165968)
Enumeration Date
2006-01-19
Last Update Date
2007-07-08
Business Address
Mrs. CONNIE JEAN MOORE CRNA
9501 FARRELL RD
FORT BELVOIR, VA 22060-5901
Phone number: 703-805-0004
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Mailing Address
Mrs. CONNIE JEAN MOORE CRNA
12145 GREATBRIDGE RD
WOODBRIDGE, VA 22192-5514
Phone number:
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