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Individual

DONNA V MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
8989 MID LAKE RD, WOODRUFF, WI 54568-9610
(715) 358-5564
Mailing address
8989 MID LAKE RD, WOODRUFF, WI 54568-9610
(715) 358-5564

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
127391-030
WI

Other

Enumeration date
02/19/2009
Last updated
02/19/2009
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