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1710769849
LISA L SELLS-MOORE
ELIZABETHTOWN, KY
NPI
1710769849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-10-13
Last Update Date
2023-10-13
Business Address
LISA L SELLS-MOORE TCM
653 WINDBROOK DR
ELIZABETHTOWN, KY 42701-6827
Phone number: 502-500-4452
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Mailing Address
LISA L SELLS-MOORE TCM
120 N KNOX #398
FT KNOX, KY 40121
Phone number: 469-401-4222
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