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1528576071
TINA MARIE MOORE
WARREN, OH
NPI
1528576071
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Former Name
TINA MARIE MORTARO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 096746)
Enumeration Date
2018-01-18
Last Update Date
2018-05-24
Business Address
Miss TINA MARIE MOORE LPN
4930 ENTERPRISE DR NW
WARREN, OH 44481
Phone number: 330-787-0955
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Mailing Address
Miss TINA MARIE MOORE LPN
4930 ENTERPRISE DR NW
WARREN, OH 44481-8706
Phone number: 330-787-0955
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