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Individual
SYLVIA GAIL MOORE
Active
Individual
SYLVIA GAIL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN750046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197604502
—
TX
01
—
8884UU
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/17/2008
Last updated
10/21/2010
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