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1477686087
WANDA G MOORE
PULASKI, TN
NPI
1477686087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 18773)
Enumeration Date
2007-03-13
Last Update Date
2014-07-21
Business Address
Mrs. WANDA G MOORE FNP
1414 W COLLEGE ST
PULASKI, TN 38478-5202
Phone number: 931-363-3004
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Mailing Address
Mrs. WANDA G MOORE FNP
1414 W COLLEGE ST
PULASKI, TN 38478-5202
Phone number: 931-363-3004
Copy
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