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1346705472
DENISE MOORE
CRESTWOOD, KY
NPI
1346705472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: KY 3013070)
Enumeration Date
2019-02-03
Last Update Date
2024-07-23
Business Address
DENISE MOORE
4102 DEER RUN RD
CRESTWOOD, KY 40014-9227
Phone number: 502-758-0795
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Mailing Address
DENISE MOORE
4102 DEER RUN RD
CRESTWOOD, KY 40014-9227
Phone number: 502-758-0795
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