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1457793382
MARY KATE MOORE
JACKSBORO, TN
NPI
1457793382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 17793)
Enumeration Date
2013-07-19
Last Update Date
2013-10-04
Business Address
-- MARY KATE MOORE APRN, FNP-BC
2707 JACKSBORO PIKE SUITE 1A
JACKSBORO, TN 37757-2752
Phone number: 423-907-8186
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Mailing Address
-- MARY KATE MOORE APRN, FNP-BC
1409 BRUCE GAP RD
CARYVILLE, TN 37714-3832
Phone number:
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