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Individual

NOLAN MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
727 FERRIS ST NW, WALKER, MI 49544-1967
(616) 323-4842
Mailing address
727 FERRIS ST NW, WALKER, MI 49544-1967

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
01/24/2017
Last updated
01/24/2017
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