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1871961821
LESLIE MOORE
FAYETTEVILLE, GA
NPI
1871961821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: GA RN227918)
Enumeration Date
2015-09-08
Last Update Date
2018-09-05
Business Address
-- LESLIE MOORE NP
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214-4526
Phone number: 404-367-3014
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Mailing Address
-- LESLIE MOORE NP
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214-4526
Phone number: 404-367-3014
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