Individual
DEBORAH WALLACE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, RN
Contact information
Practice address
83 SPEEN ST, NATICK, MA 01760-4168
(508) 907-6544
Mailing address
55 ASPEN AVE, AUBURNDALE, MA 02466-3002
(617) 332-1145
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
159472
MA
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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