Individual
CATHY L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1015 W WASHBOURNE ST, JAY, OK 74346-4205
(844) 458-2100
Mailing address
62511 E 320 RD, GROVE, OK 74344-6035
(918) 253-1367
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0109745
OK
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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