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1467044693
EBONY MOORE
MULLENS, WV
NPI
1467044693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2021-02-09
Last Update Date
2021-02-09
Business Address
EBONY MOORE
695 MOUNTAINEER HWY
MULLENS, WV 25882-0255
Phone number: 304-294-8800
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Mailing Address
EBONY MOORE
695 MOUNTAINEER HWY
MULLENS, WV 25882-0255
Phone number: 304-294-8800
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