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1457806754
GINA RENIA MOONE
DOTHAN, AL
NPI
1457806754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-069998)
Enumeration Date
2016-08-17
Last Update Date
2018-03-21
Business Address
GINA RENIA MOONE CRNP
4300 W MAIN ST STE 300
DOTHAN, AL 36305-1313
Phone number: 334-446-0076
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Mailing Address
GINA RENIA MOONE CRNP
1414 ELBA HWY
TROY, AL 36079-6020
Phone number: 334-670-6726
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