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1740461003
MARDELLE S MOORE
EVERETT, WA
NPI
1740461003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WA RC00056474)
Enumeration Date
2007-11-15
Last Update Date
2007-11-15
Business Address
MARDELLE S MOORE
918 MADISON ST
EVERETT, WA 98203-4542
Phone number: 425-355-8668
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Mailing Address
MARDELLE S MOORE
918 MADISON ST
EVERETT, WA 98203-4542
Phone number: 425-355-8668
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