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Brady Joseph Moore
Student in an Organized Health Care Education/Training Program in Staunton, Illinois
NPI 1376907931

Brady Joseph Moore is a Student in an Organized Health Care Education/Training Program based in Staunton, IL. Brady Joseph Moore practices in Staunton, IL. The NPI Number for Brady Joseph Moore is 1376907931 and holds a License No. (Illinois).

The current practice location address for Brady Joseph Moore is 304 W 8Th St, Staunton, IL and can be reached out via phone at 217-929-8006.

Location: 304 W 8Th St, Staunton, IL, 62088-2018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376907931
Provider Name
Brady Joseph Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
304 W 8Th St, Staunton, IL, 62088-2018
Phone Number
217-929-8006
Fax Number
Provider Enumeration Date
04/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
304 W 8Th St
City
Staunton
State
Illinois
Zip
62088-2018
Phone Number
217-929-8006
Fax Number
person
Provider Business Mailing Address Details
Address
304 W 8Th St
City
Staunton
State
Illinois
Zip
62088-2018
Phone Number
217-929-8006
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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