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1952806986
BRENDA MOORE
FORT POLK, LA
NPI
1952806986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: AK DENH966)
Enumeration Date
2018-03-30
Last Update Date
2018-03-30
Business Address
Mrs. BRENDA MOORE RDH
7223 MISSISSIPPI AVE BUILDING 2157
FORT POLK, LA 71459
Phone number: 337-531-4854
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Mailing Address
Mrs. BRENDA MOORE RDH
360 FAIRWAY CT
FORT POLK, LA 71459-3121
Phone number: 907-854-9761
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