LAVERNE BALOGUN-MOORE

PLYMOUTH MEETING, PA
NPI1851413132
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: PA  PN270966)
Enumeration Date2007-04-06
Last Update Date2007-07-08
Business Address
-- LAVERNE BALOGUN-MOORE
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
Mailing Address
-- LAVERNE BALOGUN-MOORE
5535 BALTIMORE AVE
PHILADELPHIA, PA 19143-2841
Phone number: 215-476-5453
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