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Individual

CALLIE S MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
108 W MAIN AVE, RITZVILLE, WA 99169-1408
(509) 659-3315
(509) 659-4109
Mailing address
108 W MAIN AVE, RITZVILLE, WA 99169-1408
(509) 659-3315
(509) 659-4109

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00050640
WA

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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