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1295137107
SANNIA MOORE
BALTIMORE, MD
NPI
1295137107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MD R169636)
Enumeration Date
2014-09-23
Last Update Date
2014-09-23
Business Address
-- SANNIA MOORE
401 N BROADWAY ST SUITE 1358
BALTIMORE, MD 21287-0019
Phone number: 410-614-3975
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Mailing Address
-- SANNIA MOORE
17 WICKHAM CT
REISTERSTOWN, MD 21136-3092
Phone number:
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