Individual
JULIA ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32300 S 625 RD, GROVE, OK 74344-6285
(918) 786-2930
Mailing address
PO BOX 451585, GROVE, OK 74345-1585
(918) 786-2930
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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