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1295971786
TRACEY JEANNETTE MOSS
FORT CAMPBELL, KY
NPI
1295971786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN 61790)
Enumeration Date
2009-01-05
Last Update Date
2009-01-05
Business Address
Ms. TRACEY JEANNETTE MOSS LPN
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8503
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Mailing Address
Ms. TRACEY JEANNETTE MOSS LPN
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8503
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