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1700361110
AMANDA DAWN MOORE
ADA, OK
NPI
1700361110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 0074299)
Enumeration Date
2018-10-02
Last Update Date
2023-11-14
Business Address
Mrs. AMANDA DAWN MOORE APRN
1921 STONECIPHER DR
ADA, OK 74820-3439
Phone number: 580-421-4532
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Mailing Address
Mrs. AMANDA DAWN MOORE APRN
7296 D 1376 RD
HOLDENVILLE, OK 74848-6008
Phone number: 580-272-3500
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