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1902154172
JOHN MICHAEL MOORE
SANDY, UT
NPI
1902154172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: UT 8205692-4405)
Enumeration Date
2012-08-20
Last Update Date
2024-06-07
Business Address
JOHN MICHAEL MOORE NP-C
1403 E SEGO LILY DR STE 100
SANDY, UT 84092-4350
Phone number: 801-265-2212
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Mailing Address
JOHN MICHAEL MOORE NP-C
PO BOX 35380
LAS VEGAS, NV 89133-5380
Phone number: 702-954-7672
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