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1225002421
PAUL D MOE
SIOUX FALLS, SD
NPI
1225002421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: SD 0209)
Enumeration Date
2006-02-14
Last Update Date
2011-10-31
Business Address
-- PAUL D MOE CRNA
1305 W 18TH ST
SIOUX FALLS, SD 57105-0401
Phone number: 605-333-1000
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Mailing Address
-- PAUL D MOE CRNA
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 605-328-6548
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