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Ebony Moore

NPI 1891030375 · on the registry since 2012 · sole proprietor

Practice

Address
5721 Oakwood St
Spencer, OK 73084
Phone
(405) 414-7415
Clinicians at this address
2

Registry record

Primary taxonomy
103K00000X
103K00000X
Sex
Female
Record last updated
2012-12-10

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