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1750800058
SHAWN ANTHONY MOORE
STONE MOUNTAIN, GA
NPI
1750800058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146M00000X Emergency Medical Technician, Intermediate
(Licence: GA 00243250)
Enumeration Date
2017-09-18
Last Update Date
2018-03-17
Business Address
SHAWN ANTHONY MOORE
900 N HAIRSTON RD STE A3
STONE MOUNTAIN, GA 30083-2857
Phone number: 678-902-4947
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Mailing Address
SHAWN ANTHONY MOORE
1921 BROOK VIEW AVE
DORAVILLE, GA 30340-3850
Phone number:
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