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1225695703
NICHOLAS JAY MOORE
SPRINGFIELD, MO
NPI
1225695703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MO 2019016638)
Enumeration Date
2019-05-21
Last Update Date
2019-05-21
Business Address
NICHOLAS JAY MOORE DDS
440 E TAMPA ST
SPRINGFIELD, MO 65806-1131
Phone number: 417-831-0150
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Mailing Address
NICHOLAS JAY MOORE DDS
947 WEEKS AVE SE
MINNEAPOLIS, MN 55414-2675
Phone number: 816-699-0732
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