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1366462905
CHRISTOPHER W MOORE
FORT WAYNE, IN
NPI
1366462905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10000647)
Enumeration Date
2006-07-19
Last Update Date
2008-06-05
Business Address
-- CHRISTOPHER W MOORE PA
7950 W JEFFERSON BLVD STE 2121
FORT WAYNE, IN 46804-4140
Phone number: 260-435-7937
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Mailing Address
-- CHRISTOPHER W MOORE PA
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-435-7001
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