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1285767111
JACKIE KAYE MOORE
COLUMBIA, TN
NPI
1285767111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TN RN0000141209)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
Miss JACKIE KAYE MOORE RN
100 BLYTHEWOOD DR
COLUMBIA, TN 38401-4828
Phone number: 931-388-5757
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Mailing Address
Miss JACKIE KAYE MOORE RN
100 BLYTHEWOOD DR
COLUMBIA, TN 38401-4828
Phone number: 931-388-5757
Copy
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