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1801010095
AMY MOORE
OKLAHOMA CITY, OK
NPI
1801010095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: OK 1287)
Enumeration Date
2007-04-12
Last Update Date
2018-03-17
Business Address
AMY MOORE RD, LD, CDE
12716 N.E. 36TH STREET
OKLAHOMA CITY, OK 73140
Phone number: 405-769-3301
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Mailing Address
AMY MOORE RD, LD, CDE
PO BOX 30589
MIDWEST CITY, OK 73140-3589
Phone number: 405-769-3301
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