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Individual

ANISE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
403 LORD LN, MOUNTAIN VIEW, AR 72560-8977
(870) 213-7061
Mailing address
6203 COUNTY ROAD 73, CALICO ROCK, AR 72519-9137
(870) 297-3957

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R068904
AR

Other

Enumeration date
08/18/2015
Last updated
08/18/2015
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