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1700149101
NICOLE M MOORE
NEW ALBANY, IN
NPI
1700149101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: IN 28174888A)
Enumeration Date
2012-06-20
Last Update Date
2018-05-07
Business Address
NICOLE M MOORE NP
2630 GRANT LINE RD
NEW ALBANY, IN 47150-4053
Phone number: 812-945-0145
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Mailing Address
NICOLE M MOORE NP
2630 GRANT LINE RD
NEW ALBANY, IN 47150-4053
Phone number: 812-945-0145
Copy
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