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1912911801
JOHN WESLEY MOORE
LA CROSSE, WI
NPI
1912911801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 5473-015)
Enumeration Date
2006-07-28
Last Update Date
2007-07-08
Business Address
Dr. JOHN WESLEY MOORE D.D.S.
1200 MAIN ST
LA CROSSE, WI 54601-4102
Phone number: 608-782-7374
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Mailing Address
Dr. JOHN WESLEY MOORE D.D.S.
1200 MAIN ST
LA CROSSE, WI 54601-4102
Phone number: 608-782-7374
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