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1134330483
PHYLLIS C. MOORE
JUPITER, FL
NPI
1134330483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: FL SA1396)
Enumeration Date
2007-05-25
Last Update Date
2007-07-08
Business Address
PHYLLIS C. MOORE CCC-SLP
5111 LAIRD LN
JUPITER, FL 33458-4095
Phone number: 561-746-1907
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Mailing Address
PHYLLIS C. MOORE CCC-SLP
5111 LAIRD LN
JUPITER, FL 33458-4095
Phone number: 561-746-1907
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