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1124491899
TANTE MOORE
OXFORD, MS
NPI
1124491899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MS R884292)
Enumeration Date
2015-11-03
Last Update Date
2016-10-18
Business Address
TANTE MOORE NP-C
504 AZALEA DR SUITE A
OXFORD, MS 38655-5397
Phone number: 662-236-7738
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Mailing Address
TANTE MOORE NP-C
PO BOX 405827
ATLANTA, GA 30384-5800
Phone number:
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