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Samantha Moore

NPI 1215281407 · on the registry since 2012 · sole proprietor

Practice

Address
4334 Back St
Kingston, OK 73439
Phone
(580) 565-0371

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Female
Record last updated
2014-04-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma