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1790781052
JENNIFER MOORE
TEMPLE TERRACE, FL
NPI
1790781052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL PA3401)
Enumeration Date
2005-06-22
Last Update Date
2011-03-31
Business Address
-- JENNIFER MOORE PA
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637-0925
Phone number: 813-978-9700
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Mailing Address
-- JENNIFER MOORE PA
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637-0925
Phone number: 813-978-9700
Copy
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