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1265672141
REGINA LYNNE MOORE
DONIPHAN, MO
NPI
1265672141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
243U00000X Radiology Practitioner Assistant
(Licence: MO 06MO1254)
Enumeration Date
2009-03-04
Last Update Date
2009-03-05
Business Address
-- REGINA LYNNE MOORE RPA/RA
RR 3 BOX 4244
DONIPHAN, MO 63935-8473
Phone number: 573-996-2669
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Mailing Address
-- REGINA LYNNE MOORE RPA/RA
PO BOX 504
DONIPHAN, MO 63935-0504
Phone number: 573-996-2669
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