Individual
SHAWN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 W 2ND ST, ALLIANCE, NE 69301-3700
(308) 920-8966
Mailing address
1299 FARNAM ST, OMAHA, NE 68102-1880
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/31/2025
Last updated
12/31/2025
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