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1215436423
JENITRE SHAVONNE MOORE
JACKSONVILLE, FL
NPI
1215436423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL ARNP9316340)
Enumeration Date
2018-02-03
Last Update Date
2018-02-03
Business Address
JENITRE SHAVONNE MOORE CRNA
5885 EDENFIELD RD APT L32
JACKSONVILLE, FL 32277-1203
Phone number: 912-980-7461
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Mailing Address
JENITRE SHAVONNE MOORE CRNA
5885 EDENFIELD RD APT L32
JACKSONVILLE, FL 32277-1203
Phone number: 912-980-7461
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