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1134247893
KATESSA NICOLE MOORE
FORT SMITH, AR
NPI
1134247893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: AR P7994)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
MRS. KATESSA NICOLE MOORE M.S.
7304 RED PINE DR
FORT SMITH, AR 72916-8805
Phone number: 479-518-0692
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Mailing Address
MRS. KATESSA NICOLE MOORE M.S.
7304 RED PINE DR
FORT SMITH, AR 72916-8805
Phone number: 479-518-0692
Copy
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