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1225780539
TIFFANY MOORE
PUEBLO, CO
NPI
1225780539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CO RN.1647704)
Enumeration Date
2022-01-19
Last Update Date
2022-01-19
Business Address
TIFFANY MOORE
1304 CHINOOK LN
PUEBLO, CO 81001-1851
Phone number: 719-545-2746
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Mailing Address
TIFFANY MOORE
41 MONTEBELLO RD STE 204
PUEBLO, CO 81001-1379
Phone number: 719-545-2746
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