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1538646252
PHEDRA C MORAN
SPOKANE, WA
NPI
1538646252
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Former Name
PHEDRA C ORCUTT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WA AP60884563)
Enumeration Date
2018-07-25
Last Update Date
2021-05-25
Business Address
PHEDRA C MORAN
105 W 8TH AVE STE 122C
SPOKANE, WA 99204-2302
Phone number: 509-474-2894
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Mailing Address
PHEDRA C MORAN
PO BOX 421
LIBERTY LAKE, WA 99019-0421
Phone number: 866-747-2455
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