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1275563793
KEVIN MOORE
DECATUR, GA
NPI
1275563793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: GA RN129912)
Enumeration Date
2006-07-03
Last Update Date
2007-07-08
Business Address
-- KEVIN MOORE R.N.
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
-- KEVIN MOORE R.N.
4943 TIVOLI PARK CT
STONE MOUNTAIN, GA 30088-2322
Phone number: 770-469-7388
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