Individual
SARA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1879 DEERFIELD RD, LEBANON, OH 45036-8602
(513) 695-2900
Mailing address
1879 DEERFIELD RD, LEBANON, OH 45036-8602
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN.431040
OH
Other
Enumeration date
08/22/2021
Last updated
08/22/2021
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