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1871747204
DEANNA C MOORE
WARNER ROBINS, GA
NPI
1871747204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP004692)
Enumeration Date
2008-11-12
Last Update Date
2010-04-06
Business Address
-- DEANNA C MOORE CCC/SLP
4501 RUSSELL PKWY STE 1CR
WARNER ROBINS, GA 31088-8678
Phone number: 478-714-1040
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Mailing Address
-- DEANNA C MOORE CCC/SLP
328 AUDREY WAY
KATHLEEN, GA 31047-2166
Phone number: 478-714-1040
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