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1275796625
MARY MOORE
MADISON, WI
NPI
1275796625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: WI 148800-032)
Enumeration Date
2008-07-07
Last Update Date
2012-07-29
Business Address
-- MARY MOORE CNM
4118 WINNEMAC AVE
MADISON, WI 53711-1645
Phone number: 608-238-1426
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Mailing Address
-- MARY MOORE CNM
602 ORCHARD DR
MADISON, WI 53711-1323
Phone number: 608-238-1426
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