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1487747648
BEVERLY DAWN MOOSE
WINSTON SALEM, NC
NPI
1487747648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: NC 96-00124)
Enumeration Date
2006-10-02
Last Update Date
2012-12-11
Business Address
-- BEVERLY DAWN MOOSE MD
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103-3013
Phone number: 336-718-5095
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Mailing Address
-- BEVERLY DAWN MOOSE MD
PO BOX 30337
WINSTON SALEM, NC 27130-0337
Phone number: 336-718-8592
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