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1346828449
CAROL A MOORE
ROSEDALE, NY
NPI
1346828449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F309373-01)
Enumeration Date
2021-03-30
Last Update Date
2021-03-30
Business Address
Miss CAROL A MOORE NP
25706 CRAFT AVE
ROSEDALE, NY 11422-3010
Phone number: 718-730-0529
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Mailing Address
Miss CAROL A MOORE NP
25706 CRAFT AVE
ROSEDALE, NY 11422-3010
Phone number: 718-730-0529
Copy
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