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Individual

ANGELA E MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2380 CEDAR ST, HOLT, MI 48842-2143
(517) 742-4922
Mailing address
2016 HAGADORN RD, MASON, MI 48854-9414
(915) 471-4665

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4704350720
MI

Other

Enumeration date
11/13/2024
Last updated
04/09/2025
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