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1912476672
PATRICIA E. MOORE
MERIDIAN, ID
NPI
1912476672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID 60041)
Enumeration Date
2018-11-24
Last Update Date
2018-11-24
Business Address
PATRICIA E. MOORE
520 S EAGLE RD
MERIDIAN, ID 83642-6351
Phone number: 208-706-4151
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Mailing Address
PATRICIA E. MOORE
2625 E PICCADILLY LN
EAGLE, ID 83616-5557
Phone number: 208-794-0825
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