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1477641017
CATHY SHABAZ MOORE
BLOOMINGTON, MN
NPI
1477641017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 9909)
Enumeration Date
2006-10-10
Last Update Date
2022-09-02
Business Address
CATHY SHABAZ MOORE PA-C
9220 JAMES AVE S STE 1
BLOOMINGTON, MN 55431-4504
Phone number: 952-234-5898
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Mailing Address
CATHY SHABAZ MOORE PA-C
7993 172ND ST W
LAKEVILLE, MN 55044-9132
Phone number: 763-301-2032
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