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1992289698
MICHAEL MOORE
SPRINGFIELD, OR
NPI
1992289698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-09-18
Last Update Date
2018-09-18
Business Address
MICHAEL MOORE PA
1460 G ST
SPRINGFIELD, OR 97477-4112
Phone number: 541-726-4400
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Mailing Address
MICHAEL MOORE PA
538 S EDGEWOOD AVE
LA GRANGE, IL 60525-6133
Phone number:
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