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1972598753
MARY A MOORE
WEST BEND, WI
NPI
1972598753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 1744-33)
Enumeration Date
2005-09-16
Last Update Date
2024-05-06
Business Address
MARY A MOORE NP
3801 DECORAH RD
WEST BEND, WI 53095-9597
Phone number: 704-529-6161
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Mailing Address
MARY A MOORE NP
3801 DECORAH RD
WEST BEND, WI 53095-9597
Phone number: 704-529-6161
Copy
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