SPENCER KEITH MOORE

JACKSON, TN
NPI1770928517
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2013-05-07
Last Update Date2014-09-08
Business Address
-- SPENCER KEITH MOORE CW
1804 HIGHWAY 45 BYP SUITE 604
JACKSON, TN 38305-4436
Phone number: 731-660-7971
Mailing Address
-- SPENCER KEITH MOORE CW
2035 SAINT JOHN AVE
DYERSBURG, TN 38024-2209
Phone number: 731-541-8200
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