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1265079222
ANTHONY DUANE MOORE
SPRINGFIELD, OH
NPI
1265079222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OH CDCA.172686)
Enumeration Date
2019-12-09
Last Update Date
2020-02-25
Business Address
ANTHONY DUANE MOORE
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505-2620
Phone number: 937-328-5300
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Mailing Address
ANTHONY DUANE MOORE
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505-2620
Phone number: 937-328-5300
Copy
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