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1144004557
ISAAC BENJAMIN MOORE
ATHENS, GA
NPI
1144004557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: GA RN199586)
Enumeration Date
2023-08-24
Last Update Date
2023-08-24
Business Address
ISAAC BENJAMIN MOORE RN
123 MCNUTTS CREEK CT
ATHENS, GA 30606-3862
Phone number: 770-301-7993
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Mailing Address
ISAAC BENJAMIN MOORE RN
123 MCNUTTS CREEK CT
ATHENS, GA 30606-3862
Phone number: 770-301-7993
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