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1780095729
JONATHAN MOORE
MADISONVILLE, KY
NPI
1780095729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 49744)
Enumeration Date
2014-05-13
Last Update Date
2018-06-13
Business Address
JONATHAN MOORE
200 CLINIC DR
MADISONVILLE, KY 42431
Phone number: 270-825-6688
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Mailing Address
JONATHAN MOORE
2501 KENTUCKY AVE
PADUCAH, KY 42003-3813
Phone number:
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