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1346982097
KEIONNA MOORE
WARREN, OH
NPI
1346982097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH LPN.142798.MEDS.IV)
Enumeration Date
2022-04-12
Last Update Date
2022-04-12
Business Address
Ms. KEIONNA MOORE
421 SOUTHERN BLVD NW APT 104
WARREN, OH 44485-2564
Phone number: 330-766-7355
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Mailing Address
Ms. KEIONNA MOORE
421 SOUTHERN BLVD NW APT 104
WARREN, OH 44485-2564
Phone number: 330-766-7355
Copy
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