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1366098147
KENTRECE MOSS
WARNER ROBINS, GA
NPI
1366098147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN096075)
Enumeration Date
2019-08-16
Last Update Date
2019-08-16
Business Address
KENTRECE MOSS LPN
940 GA HIGHWAY 96 STE A
WARNER ROBINS, GA 31088-2587
Phone number: 478-988-7100
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Mailing Address
KENTRECE MOSS LPN
1501 US HIGHWAY 19 S
LEESBURG, GA 31763-4915
Phone number: 229-638-6448
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