MICHAEL JUSTIN MOORE

WICHITA, KS
NPI1427247121
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: KS  46060)
Enumeration Date2007-10-18
Last Update Date2008-11-20
Business Address
-- MICHAEL JUSTIN MOORE ARNP
2610 N WOODLAWN BLVD
WICHITA, KS 67220-2729
Phone number: 316-858-2885
Mailing Address
-- MICHAEL JUSTIN MOORE ARNP
2610 N WOODLAWN BLVD
WICHITA, KS 67220-2729
Phone number: 316-858-2885
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