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1184200255
GAMBRELL MOORE
JACKSON, MS
NPI
1184200255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: MS 800753572)
Enumeration Date
2021-03-19
Last Update Date
2021-03-19
Business Address
GAMBRELL MOORE
4271 CYPRESS DR # 42
JACKSON, MS 39212-3406
Phone number: 601-983-6016
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Mailing Address
GAMBRELL MOORE
4271 CYPRESS DR # 42
JACKSON, MS 39212-3406
Phone number: 601-983-6016
Copy
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