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1376010272
NICOLE LEIGH MOORE
DALLAS, TX
NPI
1376010272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP139142)
Enumeration Date
2018-10-29
Last Update Date
2018-10-29
Business Address
NICOLE LEIGH MOORE NP
3500 GASTON AVE
DALLAS, TX 75246-2017
Phone number: 214-820-7765
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Mailing Address
NICOLE LEIGH MOORE NP
11221 FERNDALE RD
DALLAS, TX 75238-1017
Phone number: 469-667-6503
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