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1265533046
GLEN L MOORE
CHESAPEAKE, VA
NPI
1265533046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: VA 0101044198)
Enumeration Date
2006-09-26
Last Update Date
2013-05-28
Business Address
Dr. GLEN L MOORE M.D.
113 GAINSBOROUGH SQ STE 400
CHESAPEAKE, VA 23320-1713
Phone number: 757-842-4499
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Mailing Address
Dr. GLEN L MOORE M.D.
113 GAINSBOROUGH SQ STE 400
CHESAPEAKE, VA 23320-1713
Phone number: 757-842-4499
Copy
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