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1750715926
SHELLY M MOORE
SUMMER SHADE, KY
NPI
1750715926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
Enumeration Date
2013-08-23
Last Update Date
2013-08-23
Business Address
Mrs. SHELLY M MOORE C.P.M.
696 ROY GRIDER RD
SUMMER SHADE, KY 42166-7631
Phone number: 270-590-8513
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Mailing Address
Mrs. SHELLY M MOORE C.P.M.
696 ROY GRIDER RD
SUMMER SHADE, KY 42166-7631
Phone number: 270-590-8513
Copy
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