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1215745120
DAYSHAUN M MOORE
CLOVIS, NM
NPI
1215745120
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-12-23
Last Update Date
2024-12-23
Business Address
DAYSHAUN M MOORE
1100 W 21ST ST
CLOVIS, NM 88101-4151
Phone number: 575-769-2345
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Mailing Address
DAYSHAUN M MOORE
1100 W 21ST ST
CLOVIS, NM 88101-4151
Phone number: 575-769-2345
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