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1740293562
JOHN A MOORE
URBANA, IL
NPI
1740293562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0201X Pediatrics, Pediatric Allergy/Immunology
(Licence: IL 036042907)
Enumeration Date
2006-08-14
Last Update Date
2014-05-07
Business Address
-- JOHN A MOORE M.D.
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-3100
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Mailing Address
-- JOHN A MOORE M.D.
611 W PARK ST BWPC
URBANA, IL 61801-2529
Phone number: 217-383-6792
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