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1013753961
JORDAN N MOORE
MORGANTOWN, KY
NPI
1013753961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: KY 201234059)
Enumeration Date
2024-07-01
Last Update Date
2024-07-01
Business Address
JORDAN N MOORE
5289 WOODBURY LOOP
MORGANTOWN, KY 42261-9302
Phone number: 270-999-8159
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Mailing Address
JORDAN N MOORE
5289 WOODBURY LOOP
MORGANTOWN, KY 42261-9302
Phone number: 270-999-8159
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