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1710570494
MYESHA D MOORE
ATHENS, GA
NPI
1710570494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL 5241012)
Enumeration Date
2021-02-14
Last Update Date
2021-02-14
Business Address
MYESHA D MOORE LPN
250 BRAY ST
ATHENS, GA 30601-2203
Phone number: 706-389-6789
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Mailing Address
MYESHA D MOORE LPN
155 MEADOW LN
HULL, GA 30646-3842
Phone number: 678-598-5945
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