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1053040303
CARLA MOORE
NAMPA, ID
NPI
1053040303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: ID BB234643E)
Enumeration Date
2022-06-09
Last Update Date
2022-06-09
Business Address
CARLA MOORE
2724 PEBBLE WAY
NAMPA, ID 83686-7978
Phone number: 208-571-8710
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Mailing Address
CARLA MOORE
2724 PEBBLE WAY
NAMPA, ID 83686-7978
Phone number: 208-571-8710
Copy
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