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1760927255
KPANNAH MOORE
STATEN ISLAND, NY
NPI
1760927255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 327659)
Enumeration Date
2016-12-20
Last Update Date
2016-12-20
Business Address
-- KPANNAH MOORE
492 VANDERBILT AVENUE
STATEN ISLAND, NY 10304
Phone number: 347-409-7565
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Mailing Address
-- KPANNAH MOORE
492 VANDERBILT AVENUE
STATEN ISLAND, NY 10304
Phone number:
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