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1427031764
MARY K MOODY
CHADRON, NE
NPI
1427031764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NE 722)
Enumeration Date
2005-11-21
Last Update Date
2011-01-14
Business Address
-- MARY K MOODY PA-C
825 CENTENNIAL DR
CHADRON, NE 69337-9400
Phone number: 308-432-4441
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Mailing Address
-- MARY K MOODY PA-C
PO BOX 431
CHADRON, NE 69337-0431
Phone number: 308-432-4441
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