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1063637502
JACQUETTA DEAN MOORE
BALTIMORE, MD
NPI
1063637502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
-- JACQUETTA DEAN MOORE
322 E 23RD ST
BALTIMORE, MD 21218-5811
Phone number: 410-499-0938
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Mailing Address
-- JACQUETTA DEAN MOORE
322 E 23RD ST
BALTIMORE, MD 21218-5811
Phone number: 410-499-0938
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