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1215491030
SHAWNA MOORE
PRESTONSBURG, KY
NPI
1215491030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-01-25
Last Update Date
2019-01-25
Business Address
SHAWNA MOORE
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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Mailing Address
SHAWNA MOORE
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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