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1417913526
LEAH NICOLE MOON
KINGSPORT, TN
NPI
1417913526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TN MD37074)
Enumeration Date
2006-04-26
Last Update Date
2014-05-07
Business Address
Dr. LEAH NICOLE MOON MD
105 W STONE DR STE 1F
KINGSPORT, TN 37660-3365
Phone number: 423-857-2793
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Mailing Address
Dr. LEAH NICOLE MOON MD
PO BOX 9
KINGSPORT, TN 37662-0009
Phone number: 423-857-2066
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