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1356082390
STEPHANIE T MOORE
NICHOLASVILLE, KY
NPI
1356082390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY PA3105)
Enumeration Date
2022-04-05
Last Update Date
2023-01-03
Business Address
STEPHANIE T MOORE PA-C
110 VILLAGE PKWY
NICHOLASVILLE, KY 40356-2327
Phone number: 859-887-8400
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Mailing Address
STEPHANIE T MOORE PA-C
1221 S BROADWAY
LEXINGTON, KY 40504-2701
Phone number: 859-258-6200
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