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1164069860
TRACEY LEE MOORE
THE VILLAGES, FL
NPI
1164069860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11005204)
Enumeration Date
2019-12-02
Last Update Date
2019-12-03
Business Address
TRACEY LEE MOORE APRN
2485 PINELLAS PL
THE VILLAGES, FL 32163-2703
Phone number: 352-674-1720
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Mailing Address
TRACEY LEE MOORE APRN
1020 LAKE SUMTER LNDG
THE VILLAGES, FL 32162-2699
Phone number: 352-674-8905
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