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1386231264
LISA MOORE
CHARLOTTE, NC
NPI
1386231264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NC 201730)
Enumeration Date
2020-12-28
Last Update Date
2020-12-28
Business Address
LISA MOORE RN
10210 RIVENDELL LN
CHARLOTTE, NC 28269-7009
Phone number: 704-650-8639
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Mailing Address
LISA MOORE RN
10210 RIVENDELL LN
CHARLOTTE, NC 28269-7009
Phone number: 704-650-8639
Copy
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