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1114397106
DUANE MOORE
DETROIT, MI
NPI
1114397106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-10-02
Last Update Date
2015-10-02
Business Address
-- DUANE MOORE
3415 SEYBURN ST
DETROIT, MI 48214-1720
Phone number: 313-925-8751
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Mailing Address
-- DUANE MOORE
3415 SEYBURN ST
DETROIT, MI 48214-1720
Phone number:
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