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1598235889
JACQUELINE MARIE MOORE
VANCOUVER, WA
NPI
1598235889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA 60911808)
Enumeration Date
2018-11-29
Last Update Date
2023-07-25
Business Address
Mrs. JACQUELINE MARIE MOORE MSN, PMHNP-BC, RN
701 NE 136TH AVE STE 200
VANCOUVER, WA 98684-6937
Phone number: 360-322-4711
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Mailing Address
Mrs. JACQUELINE MARIE MOORE MSN, PMHNP-BC, RN
701 NE 136TH AVE STE 200
VANCOUVER, WA 98684-6937
Phone number: 360-322-4711
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