PHILLIP TITUS MOORE

CLEVELAND, OH
NPI1376785824
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  122898)
Enumeration Date2009-03-30
Last Update Date2009-03-30
Business Address
Mr. PHILLIP TITUS MOORE LPN
14401 IDAROSE AVE
CLEVELAND, OH 44110-3648
Phone number: 216-965-9273
Mailing Address
Mr. PHILLIP TITUS MOORE LPN
14401 IDAROSE AVE
CLEVELAND, OH 44110-3648
Phone number: 216-965-9273
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