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1487204558
SARA JANE MOORE
GRAND RAPIDS, MI
NPI
1487204558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MI 4704265117)
Enumeration Date
2019-09-19
Last Update Date
2019-10-08
Business Address
Mrs. SARA JANE MOORE AGACNP
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-914-1693
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Mailing Address
Mrs. SARA JANE MOORE AGACNP
PO BOX 5329
SAGINAW, MI 48603-0329
Phone number: 616-364-6700
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