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1124406178
NATHANIEL P. MOORE
BURLINGTON, VT
NPI
1124406178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VT 055.0031256)
Enumeration Date
2015-05-11
Last Update Date
2015-06-08
Business Address
NATHANIEL P. MOORE PA
111 COLCHESTER AVE. UVM MEDICAL CENTER - SURGERY/EMERGENCY DEPT.
BURLINGTON, VT 05401-1473
Phone number: 802-847-2434
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Mailing Address
NATHANIEL P. MOORE PA
111 COLCHESTER AVE. UVM MEDICAL CENTER - SURGERY/EMERGENCY DEPT.
BURLINGTON, VT 05401-1473
Phone number: 802-847-2434
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