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1942785795
JOLISA MOORE
BARTOW, FL
NPI
1942785795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-09-27
Last Update Date
2018-09-27
Business Address
JOLISA MOORE
1239 E MAIN ST
BARTOW, FL 33830-5058
Phone number: 863-519-0575
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Mailing Address
JOLISA MOORE
PO BOX 1559
BARTOW, FL 33831-1559
Phone number: 863-519-0575
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