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1003598228
CHANTE ALLI MOORE
SAN DIEGO, CA
NPI
1003598228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2023-08-07
Last Update Date
2023-08-07
Business Address
CHANTE ALLI MOORE
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 215-681-7866
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Mailing Address
CHANTE ALLI MOORE
1370 ORO VISTA RD APT 150
SAN DIEGO, CA 92154-3172
Phone number: 215-681-7866
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