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1598431744
ALONZO MOORE
CHARLESTON, WV
NPI
1598431744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-08-18
Last Update Date
2021-08-18
Business Address
ALONZO MOORE
1710 PENNSYLVANIA AVE
CHARLESTON, WV 25302-3934
Phone number: 130-434-8070
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Mailing Address
ALONZO MOORE
1710 PENNSYLVANIA AVE
CHARLESTON, WV 25302-3934
Phone number: 130-434-8070
Copy
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