SHANDA MOORE

FORT SILL, OK
NPI1407204373
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WX0003X Registered Nurse Obstetric, Inpatient
(Licence: OK  0096640)
Enumeration Date2016-06-01
Last Update Date2016-06-01
Business Address
SHANDA MOORE
4301 WILSON ST
FORT SILL, OK 73503-4472
Phone number: 580-588-2662
Mailing Address
SHANDA MOORE
4301 WILSON ST
FORT SILL, OK 73503-4472
Phone number: 580-588-2662
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