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1942563663
CONNIE JO MOORE
FAIRBANKS, AK
NPI
1942563663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AK 22219)
Enumeration Date
2012-06-18
Last Update Date
2012-11-28
Business Address
-- CONNIE JO MOORE
1717 W. COWLES STREET
FAIRBANKS, AK 99701
Phone number: 907-451-6682
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Mailing Address
-- CONNIE JO MOORE
PO BOX 83993
FAIRBANKS, AK 99708-3993
Phone number: 907-479-0850
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