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1992345565
ERIC MOORE
COLORADO SPRINGS, CO
NPI
1992345565
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CO 0001794)
Enumeration Date
2020-01-13
Last Update Date
2020-01-13
Business Address
ERIC MOORE
1330 QUAIL LAKE LOOP
COLORADO SPRINGS, CO 80906-4651
Phone number: 719-464-4637
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Mailing Address
ERIC MOORE
1330 QUAIL LAKE LOOP
COLORADO SPRINGS, CO 80906-4651
Phone number:
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