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1760934962
JACQUELINE K MOORE
CANTON, OH
NPI
1760934962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-11-04
Last Update Date
2018-06-21
Business Address
JACQUELINE K MOORE QMHS
625 CLEVELAND AVE NW
CANTON, OH 44702
Phone number: 330-453-8252
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Mailing Address
JACQUELINE K MOORE QMHS
625 CLEVELAND AVE NW
CANTON, OH 44702-1805
Phone number: 330-455-0374
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