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1205053063
EVAN CORLEE MOORE
SALT LAKE CITY, UT
NPI
1205053063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: UT 7372509-1205)
Enumeration Date
2007-04-20
Last Update Date
2021-09-14
Business Address
Dr. EVAN CORLEE MOORE M.D.
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107-5701
Phone number: 801-910-3595
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Mailing Address
Dr. EVAN CORLEE MOORE M.D.
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107-5701
Phone number:
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