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1235291394
WIETSKE WILLEMSMA MOORE
WASHINGTON, DC
NPI
1235291394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: DC RN966736)
Enumeration Date
2006-12-15
Last Update Date
2011-09-06
Business Address
Mrs. WIETSKE WILLEMSMA MOORE CFNP
3020 14TH ST NW
WASHINGTON, DC 20009-6865
Phone number: 202-745-4300
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Mailing Address
Mrs. WIETSKE WILLEMSMA MOORE CFNP
12548 MOUNTAIN RD
LOVETTSVILLE, VA 20180-2609
Phone number: 703-554-4527
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