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1750972147
KAYLEE SHOPE MOORE
WILMINGTON, NC
NPI
1750972147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363AM0700X Physician Assistant, Medical
Enumeration Date
2021-01-29
Last Update Date
2021-08-20
Business Address
KAYLEE SHOPE MOORE PA-C
2601 IRON GATE DR STE 204
WILMINGTON, NC 28412-6624
Phone number: 910-500-7072
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Mailing Address
KAYLEE SHOPE MOORE PA-C
2601 IRON GATE DR STE 204
WILMINGTON, NC 28412-6624
Phone number: 910-465-1124
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