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1710455159
JACKIE L MOORE
BATON ROUGE, LA
NPI
1710455159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2018-11-04
Last Update Date
2018-11-04
Business Address
JACKIE L MOORE
8550 UNITED PLAZA BLVD STE 702
BATON ROUGE, LA 70809-0200
Phone number: 225-963-6688
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Mailing Address
JACKIE L MOORE
8550 UNITED PLAZA BLVD STE 702
BATON ROUGE, LA 70809-0200
Phone number: 225-963-6688
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