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1255548061
CHARLOTTE ANN MOORE
MCCOMB, MS
NPI
1255548061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 0000001995)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- CHARLOTTE ANN MOORE
206 MARYLAND AVE
MCCOMB, MS 39648-3926
Phone number: 601-250-4815
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Mailing Address
-- CHARLOTTE ANN MOORE
PO BOX 40801
MEMPHIS, TN 38174-0801
Phone number: 601-250-4815
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