Individual
JENNIFER KAY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
308 PENNY CIR, GUTHRIE, OK 73044-9272
(405) 657-9265
Mailing address
PO BOX 275, GUTHRIE, OK 73044-0275
(405) 657-9265
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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