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Individual
VICKI MOORE
Active
Individual
VICKI MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010524
KY
363LF0000X
Family Nurse Practitioner
71006540A
IN
Other
Enumeration date
07/28/2016
Last updated
12/07/2017
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