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1255366035
KELLEY E MOON
NACOGDOCHES, TX
NPI
1255366035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: TX L4067)
Enumeration Date
2006-07-11
Last Update Date
2007-07-08
Business Address
Dr. KELLEY E MOON M.D.
1320 N UNIVERSITY DR
NACOGDOCHES, TX 75961-4269
Phone number: 936-564-7206
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Mailing Address
Dr. KELLEY E MOON M.D.
1320 N UNIVERSITY DR
NACOGDOCHES, TX 75961-4269
Phone number: 936-564-7206
Copy
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