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1295713246
LAURIE ANNE MOORE
FORT LEONARD WOOD, MO
NPI
1295713246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 118221)
Enumeration Date
2006-01-09
Last Update Date
2007-07-08
Business Address
Mrs. LAURIE ANNE MOORE P.A.
126 MISSOURI AVE MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-0417
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Mailing Address
Mrs. LAURIE ANNE MOORE P.A.
126 MISSOURI AVE MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-0417
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