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Individual
MRS. TYNA LEE MOORE
Active
Individual
MRS. TYNA LEE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D., D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3932
OR
175F00000X
Naturopath
Primary
1637
OR
Other
Enumeration date
12/27/2008
Last updated
04/06/2012
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