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Individual

TARA MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 471-1866
Mailing address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R27812
ND

Other

Enumeration date
06/05/2014
Last updated
06/05/2014
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