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1700053394
MATTHEW HENRY MOORE
MIAMI, OK
NPI
1700053394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 1732)
Enumeration Date
2008-05-13
Last Update Date
2019-01-07
Business Address
Mr. MATTHEW HENRY MOORE PA-C
111 S TREATY RD
MIAMI, OK 74354
Phone number: 918-540-1511
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Mailing Address
Mr. MATTHEW HENRY MOORE PA-C
111 S TREATY RD
MIAMI, OK 74354-5327
Phone number: 918-540-1511
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