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Individual

HOWARD MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD1635
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3713646
TN
Enumeration date
01/03/2007
Last updated
07/11/2024
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