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1154710077
DANIEL AUSTIN MOORE
SIOUX CITY, IA
NPI
1154710077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IA 076565)
Enumeration Date
2015-01-15
Last Update Date
2021-06-22
Business Address
Mr. DANIEL AUSTIN MOORE PA-C
801 5TH ST
SIOUX CITY, IA 51101-1326
Phone number: 712-279-2010
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Mailing Address
Mr. DANIEL AUSTIN MOORE PA-C
345 W STEAMBOAT DR
DAKOTA DUNES, SD 57049-5333
Phone number: 605-217-5617
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