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1770110462
KYJANA DOMINIQUE MOORE
SHERWOOD, AR
NPI
1770110462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AR 121607)
Enumeration Date
2020-03-24
Last Update Date
2020-03-24
Business Address
KYJANA DOMINIQUE MOORE LPN
1540 COUNTRY CLUB RD
SHERWOOD, AR 72120-5095
Phone number: 501-753-5459
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Mailing Address
KYJANA DOMINIQUE MOORE LPN
1540 COUNTRY CLUB RD
SHERWOOD, AR 72120-5095
Phone number: 501-753-5459
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