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1700845146
RANDALL LEE MOORE
WEST POINT, NY
NPI
1700845146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 650176)
Enumeration Date
2006-03-23
Last Update Date
2007-07-08
Business Address
-- RANDALL LEE MOORE CRNA
900 WASHINGTON RD
WEST POINT, NY 10996-1109
Phone number: 845-938-3511
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Mailing Address
-- RANDALL LEE MOORE CRNA
3056B SHERBURNE PL
WEST POINT, NY 10996-1813
Phone number: 845-446-4247
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