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1205576980
TANESHA NACOLE MOORE
SAN ANTONIO, TX
NPI
1205576980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1072704)
Enumeration Date
2022-03-30
Last Update Date
2024-05-20
Business Address
Mrs. TANESHA NACOLE MOORE APRN, FNP-C
4647 MEDICAL DR
SAN ANTONIO, TX 78229-4403
Phone number: 918-381-2968
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Mailing Address
Mrs. TANESHA NACOLE MOORE APRN, FNP-C
4647 MEDICAL DR
SAN ANTONIO, TX 78229-4403
Phone number: 918-381-2968
Copy
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