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1265906226
LAURA E MOON
WATKINSVILLE, GA
NPI
1265906226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: GA RN144320)
Enumeration Date
2019-01-14
Last Update Date
2021-06-29
Business Address
LAURA E MOON NP
1021 JAMESTOWN BLVD STE 215
WATKINSVILLE, GA 30677-4176
Phone number: 706-389-2273
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Mailing Address
LAURA E MOON NP
PO BOX 48089
ATHENS, GA 30604-8089
Phone number: 706-389-3740
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