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1336534197
KEENNA MOORE
COMMACK, NY
NPI
1336534197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-03-30
Last Update Date
2015-03-30
Business Address
-- KEENNA MOORE
137 HARNED RD
COMMACK, NY 11725-4203
Phone number: 631-543-6765
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Mailing Address
-- KEENNA MOORE
193 MCKINLEY DR
MASTIC BEACH, NY 11951-5611
Phone number: 631-394-8778
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