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1962772186
MELISSA RAE MOORE
ORDWAY, CO
NPI
1962772186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2012-01-04
Last Update Date
2012-01-04
Business Address
MS. MELISSA RAE MOORE PTA
401 IDAHO AVE
ORDWAY, CO 81063-1328
Phone number: 877-306-0051
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Mailing Address
MS. MELISSA RAE MOORE PTA
4216 SENTINEL PL
PUEBLO, CO 81008-1877
Phone number: 719-423-9462
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