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1861939712
TITUS MOORE
KISSIMMEE, FL
NPI
1861939712
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Entity Type
Organization
Authorized Contact
TITUS MOORE
Owner
407-860-5283
Organization Subpart ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2017-01-30
Last Update Date
2017-01-30
Business Address
TITUS MOORE
108 BRIDGEPORT WAY
KISSIMMEE, FL 34758-4139
Phone number: 407-860-5283
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Mailing Address
TITUS MOORE
108 BRIDGEPORT WAY
KISSIMMEE, FL 34758-4139
Phone number: 407-860-5283
Copy
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