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1841910791
BRENDA LEE MOORE
FAIRMONT, WV
NPI
1841910791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2022-08-31
Last Update Date
2022-08-31
Business Address
BRENDA LEE MOORE
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554-8992
Phone number: 304-816-3687
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Mailing Address
BRENDA LEE MOORE
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554-8992
Phone number: 304-816-3687
Copy
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