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1942764592
CHARLES DANIEL MOORE
TUSCALOOSA, AL
NPI
1942764592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-124776)
Enumeration Date
2019-01-29
Last Update Date
2022-07-20
Business Address
CHARLES DANIEL MOORE CRNP
850 PETER BRYCE BLVD
TUSCALOOSA, AL 35401-7457
Phone number: 205-348-1770
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Mailing Address
CHARLES DANIEL MOORE CRNP
850 PETER BRYCE BLVD
TUSCALOOSA, AL 35401-7457
Phone number: 205-330-6400
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