Individual
MRS. LINDA SUE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3286 53RD AVE, COLUMBUS, NE 68601-1516
(402) 564-1124
(402) 563-0710
Mailing address
3286 53RD AVE, COLUMBUS, NE 68601-1516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
36858
NE
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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