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1023671963
NICHOLE LYNN MOORE
DAYTON, OH
NPI
1023671963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 126503.meds-iv)
Enumeration Date
2019-04-16
Last Update Date
2019-04-16
Business Address
NICHOLE LYNN MOORE LPN
100 ELMWOOD PARK DR
DAYTON, OH 45449-5402
Phone number: 937-247-9015
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Mailing Address
NICHOLE LYNN MOORE LPN
901 W WASHINGTON ST
NEW CARLISLE, OH 45344-1552
Phone number: 937-765-2229
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