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1205187861
MELANIE DAWN MOORE
LOUISVILLE, KY
NPI
1205187861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: KY 3007505)
Enumeration Date
2012-09-24
Last Update Date
2020-10-28
Business Address
Mrs. MELANIE DAWN MOORE NP
120 EXECUTIVE PARK
LOUISVILLE, KY 40207-4201
Phone number: 502-855-7200
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Mailing Address
Mrs. MELANIE DAWN MOORE NP
223 EXECUTIVE PARK
LOUISVILLE, KY 40207-4202
Phone number: 502-907-0356
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