Individual
MRS. DEBORAH JANE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
172 FORDHAM CIR, PUEBLO, CO 81005-1649
(719) 565-1211
Mailing address
172 FORDHAM CIR, PUEBLO, CO 81005-1649
(719) 565-1211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0102931
CO
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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