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1164485033
GLENNDALE MOORE
RALEIGH, NC
NPI
1164485033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: NC 24609)
Enumeration Date
2006-04-10
Last Update Date
2007-07-08
Business Address
Dr. GLENNDALE MOORE M.D.
2949 NEW BERN AVE SUITE 112-A
RALEIGH, NC 27610-1248
Phone number: 919-231-3614
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Mailing Address
Dr. GLENNDALE MOORE M.D.
PO BOX 28510
RALEIGH, NC 27611-8510
Phone number: 919-231-3614
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