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1881968600
GREGORY LYNN MOON
VANCOUVER, WA
NPI
1881968600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 200742871RN)
Enumeration Date
2012-02-24
Last Update Date
2012-02-24
Business Address
Mr. GREGORY LYNN MOON rn
7307 NE 69TH ST
VANCOUVER, WA 98662-4398
Phone number: 360-258-4920
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Mailing Address
Mr. GREGORY LYNN MOON rn
7307 NE 69TH ST
VANCOUVER, WA 98662-4398
Phone number: 360-258-4920
Copy
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