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1588143705
ANTOINE MOORE
SAN ANTONIO, TX
NPI
1588143705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 306593)
Enumeration Date
2018-08-08
Last Update Date
2018-08-08
Business Address
ANTOINE MOORE LVN
10609 W IH 10 STE 105
SAN ANTONIO, TX 78230-1673
Phone number: 210-344-5437
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Mailing Address
ANTOINE MOORE LVN
10609 W IH 10 STE 105
SAN ANTONIO, TX 78230-1673
Phone number: 210-344-5437
Copy
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