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1235407248
PHYLLIS ANN MOORE
FORT WORTH, TX
NPI
1235407248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 254099)
Enumeration Date
2011-12-05
Last Update Date
2011-12-05
Business Address
-- PHYLLIS ANN MOORE FNP
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2224
Phone number: 817-321-0387
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Mailing Address
-- PHYLLIS ANN MOORE FNP
816 W CANNON ST
FORT WORTH, TX 76104-3146
Phone number: 817-321-0387
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