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1851483523
TINA L. MOORE
SIKESTON, MO
NPI
1851483523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 141409)
Enumeration Date
2006-09-29
Last Update Date
2018-10-24
Business Address
TINA L. MOORE APRN, BC-FNP
1008 N MAIN ST
SIKESTON, MO 63801-5044
Phone number: 573-472-6001
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Mailing Address
TINA L. MOORE APRN, BC-FNP
615 MAIN ST
NEW MADRID, MO 63869-1513
Phone number: 573-748-2546
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