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1215030465
KENNETH MOORE
ROCKY MOUNT, NC
NPI
1215030465
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NC 9800098)
Enumeration Date
2006-09-06
Last Update Date
2007-07-09
Business Address
KENNETH MOORE
2460 CURTIS ELLIS DR
ROCKY MOUNT, NC 27804-2237
Phone number: 252-443-8172
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Mailing Address
KENNETH MOORE
PO BOX 409540
ATLANTA, GA 30384-9540
Phone number:
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