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1922404623
GLEN O MOORE
LAKEWOOD, CO
NPI
1922404623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CO PA0004150)
Enumeration Date
2014-11-07
Last Update Date
2022-11-02
Business Address
GLEN O MOORE PA-C
8383 W ALAMEDA AVE
LAKEWOOD, CO 80226-3007
Phone number: 303-338-4545
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Mailing Address
GLEN O MOORE PA-C
10350 E DAKOTA AVE
DENVER, CO 80247-1314
Phone number:
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