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1447704101
KEISHA MOORE
MILWAUKEE, WI
NPI
1447704101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: WI 312890-31)
Enumeration Date
2016-08-11
Last Update Date
2016-08-11
Business Address
-- KEISHA MOORE
8048 N CELINA ST
MILWAUKEE, WI 53224-2904
Phone number: 414-750-8525
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Mailing Address
-- KEISHA MOORE
8048 N CELINA ST
MILWAUKEE, WI 53224-2904
Phone number: 414-750-8525
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