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1518030154
MARIA ANNE MOORE
EVERGREEN PARK, IL
NPI
1518030154
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Former Name
MARIA ANNE GALLAGHER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046-009-773)
Enumeration Date
2006-11-15
Last Update Date
2009-06-25
Business Address
-- MARIA ANNE MOORE O.D.
9500 S WESTERN AVE STE G3A
EVERGREEN PARK, IL 60805-2856
Phone number: 708-425-5285
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Mailing Address
-- MARIA ANNE MOORE O.D.
9225 S TRUMBULL AVE
EVERGREEN PARK, IL 60805-1534
Phone number: 312-307-7450
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