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1447834106
ANDREA M MOON
MERIDIANVILLE, AL
NPI
1447834106
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Former Name
ANDREA M MCCOLLUM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: TN 99)
Enumeration Date
2021-05-10
Last Update Date
2021-05-10
Business Address
ANDREA M MOON CPM
123 CALLAWAY LN
MERIDIANVILLE, AL 35759-1503
Phone number: 256-652-7968
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Mailing Address
ANDREA M MOON CPM
123 CALLAWAY LN
MERIDIANVILLE, AL 35759-1503
Phone number: 256-652-7968
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