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1871961813
LESLIE DY-ANNE MOORE
CHICAGO, IL
NPI
1871961813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: IL 209013009)
Enumeration Date
2015-09-08
Last Update Date
2015-09-08
Business Address
-- LESLIE DY-ANNE MOORE CNM
9718 S HALSTED ST
CHICAGO, IL 60628-1007
Phone number: 773-233-4100
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Mailing Address
-- LESLIE DY-ANNE MOORE CNM
8126 S SAGINAW AVE
CHICAGO, IL 60617-1376
Phone number: 773-983-2536
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