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1558686253
PAUL ROBERT MOORE
FARMINGTON, NM
NPI
1558686253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN R1778687)
Enumeration Date
2010-04-06
Last Update Date
2010-08-11
Business Address
-- PAUL ROBERT MOORE RN, CRNA
801 W MAPLE ST
FARMINGTON, NM 87401-5630
Phone number: 505-609-2000
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Mailing Address
-- PAUL ROBERT MOORE RN, CRNA
1515 E 20TH ST STE A
FARMINGTON, NM 87401-9039
Phone number: 505-326-6400
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