DEANA GAY MOORE

BLOOMINGTON, IL
NPI1225276645
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: IL  041269898)
Enumeration Date2009-01-22
Last Update Date2009-01-22
Business Address
-- DEANA GAY MOORE
108 W MARKET ST
BLOOMINGTON, IL 61701-3918
Phone number: 309-827-5351
Mailing Address
-- DEANA GAY MOORE
5 OAKBROOK CT APT 1
BLOOMINGTON, IL 61704-2242
Phone number: 309-530-6075
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