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1982079315
KERI LEIGH MOON
TEMPLE, TX
NPI
1982079315
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Former Name
KERI LEIGH STUMP
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA10170)
Enumeration Date
2015-12-10
Last Update Date
2021-11-24
Business Address
KERI LEIGH MOON PA
1605 S 31ST ST
TEMPLE, TX 76508-3483
Phone number: 254-215-0100
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Mailing Address
KERI LEIGH MOON PA
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111
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