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1851140149
MICHAEL D MOORE
WEST JORDAN, UT
NPI
1851140149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 11004975-4405)
Enumeration Date
2024-05-17
Last Update Date
2024-05-19
Business Address
MICHAEL D MOORE
7458 SOUTH CAMPUS VIEW DRIVE
WEST JORDAN, UT 84084
Phone number: 801-210-2445
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Mailing Address
MICHAEL D MOORE
3963 W CEDAR WOOD LN
SOUTH JORDAN, UT 84009-3978
Phone number: 801-608-9287
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