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1982687158
THERESA A MOORE
SYRACUSE, NY
NPI
1982687158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY 302160)
Enumeration Date
2005-11-22
Last Update Date
2012-06-18
Business Address
-- THERESA A MOORE N.P.
739 IRVING AVE SUITE 600
SYRACUSE, NY 13210-1651
Phone number: 315-471-0190
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Mailing Address
-- THERESA A MOORE N.P.
1226 E WATER ST
SYRACUSE, NY 13210-1155
Phone number: 315-478-4185
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