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1730819921
JACOB A MOORE
JOPLIN, MO
NPI
1730819921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MO 2022011251)
Enumeration Date
2022-06-13
Last Update Date
2022-06-13
Business Address
JACOB A MOORE
1800 W 30TH ST
JOPLIN, MO 64804-1520
Phone number: 417-347-7580
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Mailing Address
JACOB A MOORE
PO BOX 2526
JOPLIN, MO 64803-2526
Phone number: 417-347-7579
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