MARY KATHLEEN MOORE

TAHLEQUAH, OK
NPI1902837776
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: OK  3976)
Enumeration Date2006-07-06
Last Update Date2007-07-08
Business Address
-- MARY KATHLEEN MOORE D.O.
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3104
Mailing Address
-- MARY KATHLEEN MOORE D.O.
PO BOX 675
TAHLEQUAH, OK 74465-0675
Phone number: 918-458-5583
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