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1912157041
TINA MARIE MOE
DONIPHAN, MO
NPI
1912157041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 152864)
Enumeration Date
2008-09-25
Last Update Date
2020-02-05
Business Address
Mrs. TINA MARIE MOE FNP
109 LEROUX DRIVE
DONIPHAN, MO 63935
Phone number: 573-996-2136
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Mailing Address
Mrs. TINA MARIE MOE FNP
PO BOX 1960
JONESBORO, AR 72403-1960
Phone number: 870-936-1000
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