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1376322073
TARA MOORE
GLENDALE, AZ
NPI
1376322073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ 297944)
Enumeration Date
2023-09-22
Last Update Date
2023-10-18
Business Address
TARA MOORE FNP
5410 W THUNDERBIRD RD
GLENDALE, AZ 85306-4711
Phone number: 602-530-6189
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Mailing Address
TARA MOORE FNP
10810 N TATUM BLVD STE 102-165
PHOENIX, AZ 85028
Phone number:
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