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1619505567
BROOK MOORE
WICHITA, KS
NPI
1619505567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KS 53-79375-092)
Enumeration Date
2020-03-27
Last Update Date
2020-03-27
Business Address
BROOK MOORE NP-C
328 N MARK ALLEN ST
WICHITA, KS 67212-5455
Phone number: 316-992-3540
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Mailing Address
BROOK MOORE NP-C
328 N MARK ALLEN ST
WICHITA, KS 67212-5455
Phone number:
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