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1912911421
MARY SARA MOORE
FORT LEONARD WOOD, MO
NPI
1912911421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MO 152094)
Enumeration Date
2006-07-28
Last Update Date
2007-07-08
Business Address
Ms. MARY SARA MOORE Psych NP
126 MISSOURI AVE MCXP - CCS - CR
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-0417
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Mailing Address
Ms. MARY SARA MOORE Psych NP
126 MISSOURI AVE MCXP - CCS - CR
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-0417
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