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1093221921
LATACIA S. MOORE
ASHLAND, OH
NPI
1093221921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-12-14
Last Update Date
2020-12-08
Business Address
LATACIA S. MOORE
1590 CRESTVIEW DR
ASHLAND, OH 44805-3560
Phone number: 419-289-0970
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Mailing Address
LATACIA S. MOORE
1590 CRESTVIEW DR
ASHLAND, OH 44805-3560
Phone number: 419-289-0970
Copy
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