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1306101571
STEVEN SHANE MOORE
PEORIA, AZ
NPI
1306101571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: IN 41000273A)
Enumeration Date
2012-07-12
Last Update Date
2015-12-22
Business Address
-- STEVEN SHANE MOORE DPM
13660 N 94TH DR STE F1
PEORIA, AZ 85381-4232
Phone number: 623-974-0522
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Mailing Address
-- STEVEN SHANE MOORE DPM
13660 N 94TH DR STE F1
PEORIA, AZ 85381-4232
Phone number: 623-974-0522
Copy
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