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Patricia Moore, MEDICAID PROVIDER
NPI 1356643324 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1453 S. Bancroft
Indianaplis, IN 46203 - Phone
- (317) 410-7339
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-05-04
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 Indiana