Individual
TRAVON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 S ANN ARBOR AVE, OKLAHOMA CITY, OK 73128-1112
(405) 905-4787
Mailing address
309 S ANN ARBOR AVE, OKLAHOMA CITY, OK 73128-1112
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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