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1457823387
WANDA J. MCMOORE
LEBANON, TN
NPI
1457823387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN APN25181)
Enumeration Date
2018-12-17
Last Update Date
2019-12-31
Business Address
WANDA J. MCMOORE MSN, FNP-BC
100 PHYSICIANS WAY STE 300
LEBANON, TN 37090-8103
Phone number: 615-449-6868
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Mailing Address
WANDA J. MCMOORE MSN, FNP-BC
4984 TULIP GROVE LN
HERMITAGE, TN 37076-4417
Phone number: 931-338-1287
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