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1164261087
MATTHEW MOORE
LAFAYETTE, LA
NPI
1164261087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-21
Last Update Date
2024-05-21
Business Address
MATTHEW MOORE MD
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503-2621
Phone number: 337-289-8193
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Mailing Address
MATTHEW MOORE MD
1042 CAMELLIA BLVD APT 3409
LAFAYETTE, LA 70508-6692
Phone number:
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