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1184173247
MICHELLE DENISE MOORE
COLUMBUS, MS
NPI
1184173247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 901781)
Enumeration Date
2016-09-29
Last Update Date
2016-09-29
Business Address
-- MICHELLE DENISE MOORE NP-C
516B LINCOLN RD
COLUMBUS, MS 39705-2226
Phone number: 662-241-7177
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Mailing Address
-- MICHELLE DENISE MOORE NP-C
1700 CAL KOLOLA RD
CALEDONIA, MS 39740-9460
Phone number: 662-574-3894
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