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1518633122
LATRICE MOORE
LEESBURG, VA
NPI
1518633122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: VA 0024182341)
Enumeration Date
2021-08-23
Last Update Date
2021-08-23
Business Address
LATRICE MOORE FNP-BC
19450 DEERFIELD AVE STE 325
LEESBURG, VA 20176-8503
Phone number: 571-252-8119
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Mailing Address
LATRICE MOORE FNP-BC
41049 INDIGO PL
LEESBURG, VA 20175-4825
Phone number: 703-297-2685
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