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1760651947
STEPHANIE L MOORE
HATTIESBURG, MS
NPI
1760651947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MS D1108)
Enumeration Date
2008-02-21
Last Update Date
2008-02-21
Business Address
-- STEPHANIE L MOORE Dietitian
66 OLD AIRPORT RD
HATTIESBURG, MS 39401-8382
Phone number: 601-582-2619
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Mailing Address
-- STEPHANIE L MOORE Dietitian
PO BOX 1729
HATTIESBURG, MS 39403-1729
Phone number: 601-545-8700
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