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1285907055
JEFFREY RYAN MOORE
PORTSMOUTH, VA
NPI
1285907055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 0101254499)
Enumeration Date
2012-02-09
Last Update Date
2016-04-16
Business Address
-- JEFFREY RYAN MOORE
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-3149
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Mailing Address
-- JEFFREY RYAN MOORE
NAVAL HOSPITAL TWENTYNINE PALMS 1145 STURGIS RD
TWENTYNINE PALMS, CA 92278
Phone number: 760-830-2082
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