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1780058362
JERRY MOORE
ANCHORAGE, AK
NPI
1780058362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-11-19
Last Update Date
2015-11-19
Business Address
-- JERRY MOORE
6116 CAMROSE DR
ANCHORAGE, AK 99504-3227
Phone number: 907-830-6152
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Mailing Address
-- JERRY MOORE
6116 CAMROSE DR
ANCHORAGE, AK 99504-3227
Phone number: 907-830-6152
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