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1134700941
STANLEY JOSEPH MOORE
MOUNT VERNON, WA
NPI
1134700941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA ML61170278)
Enumeration Date
2021-04-14
Last Update Date
2024-07-17
Business Address
STANLEY JOSEPH MOORE MD
819 S 13TH ST
MOUNT VERNON, WA 98274-4112
Phone number: 360-814-6230
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Mailing Address
STANLEY JOSEPH MOORE MD
14716 NE 40TH ST APT S1006
BELLEVUE, WA 98007-3333
Phone number: 360-649-8708
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