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1730139320
MAURA LEE MUZZALL-MOORE
OMAK, WA
NPI
1730139320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA PA10000002975)
Enumeration Date
2006-05-12
Last Update Date
2007-07-08
Business Address
Ms. MAURA LEE MUZZALL-MOORE PAC
529 JASMINE ST
OMAK, WA 98841-9589
Phone number: 529-826-1600
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Mailing Address
Ms. MAURA LEE MUZZALL-MOORE PAC
PO BOX 3188
OMAK, WA 98841-3188
Phone number: 509-826-1600
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