JONATHAN MOORE

CLARKSBURG, WV
NPI1447764907
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WV  APRN76344-FNP-BC)
Enumeration Date2017-11-20
Last Update Date2017-11-20
Business Address
JONATHAN MOORE
1 MEDICAL CTR. DRIVE
CLARKSBURG, WV 26301
Phone number: 304-623-3461
Mailing Address
JONATHAN MOORE
328 NEW ST
BRIDGEPORT, WV 26330-1417
Phone number: 304-918-4818
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