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1215090378
SUSAN MARIE MOORE-RIESBECK
ELKHART, IN
NPI
1215090378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 02001290A)
Enumeration Date
2006-12-19
Last Update Date
2020-10-30
Business Address
SUSAN MARIE MOORE-RIESBECK D.O.
28070 COUNTY ROAD 24
ELKHART, IN 46517-9717
Phone number: 574-273-8053
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Mailing Address
SUSAN MARIE MOORE-RIESBECK D.O.
PO BOX 175
GRANGER, IN 46530-0175
Phone number: 574-273-8053
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