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1801594866
TREVOR DEAN MOORE
SPRINGFIELD, MO
NPI
1801594866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2023006218)
Enumeration Date
2023-02-20
Last Update Date
2023-03-16
Business Address
Mr. TREVOR DEAN MOORE PA
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807-5210
Phone number: 417-269-6000
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Mailing Address
Mr. TREVOR DEAN MOORE PA
PO BOX 802843
KANSAS CITY, MO 64180-2843
Phone number: 417-730-6430
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