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1407253644
CASEY MOORE
HARTSVILLE, SC
NPI
1407253644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: SC 19048)
Enumeration Date
2014-12-03
Last Update Date
2014-12-03
Business Address
Mrs. CASEY MOORE CPNP
518 E CAROLINA AVE
HARTSVILLE, SC 29550-4312
Phone number: 843-383-4426
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Mailing Address
Mrs. CASEY MOORE CPNP
518 E CAROLINA AVE
HARTSVILLE, SC 29550-4312
Phone number:
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