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Individual
PAMELA SUE MOORE
Active
Individual
PAMELA SUE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
329292
OH
163W00000X
Registered Nurse
55726
WV
363LF0000X
Family Nurse Practitioner
2011013830
WV
Other
Enumeration date
07/27/2011
Last updated
12/23/2011
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