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1316643976
JERMAINE A MOORE
LOS ANGELES, CA
NPI
1316643976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP2201X Registered Nurse, Ambulatory Care
(Licence: CA 95220734)
Enumeration Date
2023-02-06
Last Update Date
2023-02-06
Business Address
JERMAINE A MOORE
12021 WILMINGTON AVE
LOS ANGELES, CA 90059-3019
Phone number: 424-758-9590
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Mailing Address
JERMAINE A MOORE
1118 E 123RD ST
LOS ANGELES, CA 90059-3206
Phone number: 424-758-9590
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