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1376785824
PHILLIP TITUS MOORE
CLEVELAND, OH
NPI
1376785824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 122898)
Enumeration Date
2009-03-30
Last Update Date
2009-03-30
Business Address
MR. PHILLIP TITUS MOORE LPN
14401 IDAROSE AVE
CLEVELAND, OH 44110-3648
Phone number: 216-965-9273
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Mailing Address
MR. PHILLIP TITUS MOORE LPN
14401 IDAROSE AVE
CLEVELAND, OH 44110-3648
Phone number: 216-965-9273
Copy
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