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1033708151
TYRA LYNN MOORE
CLARKSBURG, WV
NPI
1033708151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2021-01-13
Last Update Date
2021-01-13
Business Address
TYRA LYNN MOORE
100 N 1ST ST
CLARKSBURG, WV 26301-2714
Phone number: 304-624-3641
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Mailing Address
TYRA LYNN MOORE
PO BOX 764
CLARKSBURG, WV 26302-0764
Phone number: 304-624-3641
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