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1821625773
MICHAELA L. MOORE
MERIDIAN, MS
NPI
1821625773
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS 903902)
Enumeration Date
2020-03-23
Last Update Date
2020-04-24
Business Address
MICHAELA L. MOORE NP
1314 19TH AVE
MERIDIAN, MS 39301-4116
Phone number: 601-703-9480
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Mailing Address
MICHAELA L. MOORE NP
PO BOX 5392
MERIDIAN, MS 39302-5392
Phone number: 601-703-4379
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