JERRY MOORE

SPRINGFIELD, MA
NPI1033368790
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MA  33527)
Enumeration Date2008-09-17
Last Update Date2008-09-17
Business Address
-- JERRY MOORE
417 LIBERTY ST
SPRINGFIELD, MA 01104-3736
Phone number: 413-747-0705
Mailing Address
-- JERRY MOORE
417 LIBERTY ST
SPRINGFIELD, MA 01104-3736
Phone number: 413-747-0705
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