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1114977550
JOHN RUSSELL MOORE
INDEPENDENCE, MO
NPI
1114977550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: MO 2001004851)
Enumeration Date
2006-05-10
Last Update Date
2014-09-21
Business Address
Dr. JOHN RUSSELL MOORE M.D.
19001 E 48TH ST S
INDEPENDENCE, MO 64055
Phone number: 816-836-8831
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Mailing Address
Dr. JOHN RUSSELL MOORE M.D.
19001 E 48TH ST S
INDEPENDENCE, MO 64055
Phone number: 816-836-8831
Copy
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