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1457024713
VIRGIL LYTLE MOORE
TACOMA, WA
NPI
1457024713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-07-31
Last Update Date
2022-11-01
Business Address
VIRGIL LYTLE MOORE PA-C
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-1110
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Mailing Address
VIRGIL LYTLE MOORE PA-C
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number:
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