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1124036306
KATHLEEN MOORE
SANTA FE, NM
NPI
1124036306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NM R46711)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
Ms. KATHLEEN MOORE CRNA
455 SAINT MICHAELS DR OB UNIT
SANTA FE, NM 87505-7601
Phone number: 505-820-5554
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Mailing Address
Ms. KATHLEEN MOORE CRNA
455 SAINT MICHAELS DR MEDICAL STAFF OFFICE
SANTA FE, NM 87505-7601
Phone number: 505-820-5554
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