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1518230747
SHANE MOORE
SALEM, OR
NPI
1518230747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR 0008833)
Enumeration Date
2012-02-19
Last Update Date
2012-02-19
Business Address
Mr. SHANE MOORE
2155 LANCASTER DR NE
SALEM, OR 97305-1228
Phone number: 503-588-8173
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Mailing Address
Mr. SHANE MOORE
2155 LANCASTER DR NE
SALEM, OR 97305-1228
Phone number:
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