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1184631582
JENNIFER PRUITT MOORE
STATESVILLE, NC
NPI
1184631582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 5257)
Enumeration Date
2006-08-01
Last Update Date
2017-08-11
Business Address
Mrs. JENNIFER PRUITT MOORE L.P.C.
524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625-4391
Phone number: 704-871-1045
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Mailing Address
Mrs. JENNIFER PRUITT MOORE L.P.C.
284 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025-1833
Phone number: 704-939-1100
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