Individual
MARILYN JOYCE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
503 E 3RD ST, SUITE 400, DULUTH, MN 55805-1905
(218) 786-2370
Mailing address
4227 STOCKHOLM RD, DULUTH, MN 55803-2744
(218) 724-1655
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 059747-4
MN
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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