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1659505683
STANLEY MOORE
ANTIOCH, TN
NPI
1659505683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-05-05
Last Update Date
2011-01-31
Business Address
-- STANLEY MOORE BA
1921 RANSOM PLACE
ANTIOCH, TN 37013
Phone number: 615-586-9155
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Mailing Address
-- STANLEY MOORE BA
1921 RANSOM PLACE
ANTIOCH, TN 37013
Phone number: 615-586-9155
Copy
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