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1710504931
SANDRA LEE MOORE
SPRINGDALE, AR
NPI
1710504931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: AR 124033)
Enumeration Date
2020-07-03
Last Update Date
2020-10-12
Business Address
SANDRA LEE MOORE AGACNP, APRN
609 W MAPLE AVE
SPRINGDALE, AR 72764-5335
Phone number: 479-757-1260
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Mailing Address
SANDRA LEE MOORE AGACNP, APRN
8140 OZARK RIDGE DR
ROGERS, AR 72756-6325
Phone number: 479-387-5225
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