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1649616525
HOLLY S MOORE
DETROIT, MI
NPI
1649616525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MI 4704222396)
Enumeration Date
2013-05-17
Last Update Date
2013-05-17
Business Address
-- HOLLY S MOORE
5200 ANTHONY WAYNE DR SUITE 115
DETROIT, MI 48202-3945
Phone number: 313-577-5041
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Mailing Address
-- HOLLY S MOORE
5200 ANTHONY WAYNE DR SUITE 115
DETROIT, MI 48202-3945
Phone number:
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