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1316701352
DOUGLAS LEROY MOORE
GRAFTON, WV
NPI
1316701352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2024-02-09
Last Update Date
2024-02-09
Business Address
DOUGLAS LEROY MOORE
131 E MAIN ST APT 304
GRAFTON, WV 26354-1383
Phone number: 304-698-9544
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Mailing Address
DOUGLAS LEROY MOORE
131 E MAIN ST APT 304
GRAFTON, WV 26354-1383
Phone number: 304-698-9544
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