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1992258131
SHANTRAE MOORE
CONROE, TX
NPI
1992258131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 757931)
Enumeration Date
2016-07-24
Last Update Date
2018-03-28
Business Address
SHANTRAE MOORE
1414 S FRAZIER ST STE 105
CONROE, TX 77301-4475
Phone number: 936-441-2440
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Mailing Address
SHANTRAE MOORE
1414 S FRAZIER ST
CONROE, TX 77301-4453
Phone number: 936-441-2440
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