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1821874462
MIGUEL ANGEL DE LA MORA
MOSES LAKE, WA
NPI
1821874462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA AP61485710)
Enumeration Date
2023-09-07
Last Update Date
2024-12-18
Business Address
Dr. MIGUEL ANGEL DE LA MORA DNP, PMHNP
1550 S PIONEER WAY STE 165
MOSES LAKE, WA 98837-4637
Phone number: 509-793-9780
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Mailing Address
Dr. MIGUEL ANGEL DE LA MORA DNP, PMHNP
1030 N CENTER PKWY STE 112
KENNEWICK, WA 99336-7160
Phone number: 509-910-4559
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