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1982830816
AUDREY ELAINE MOORE
LITTLE ROCK, AR
NPI
1982830816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-06-05
Last Update Date
2009-06-05
Business Address
-- AUDREY ELAINE MOORE
6425 W 12TH ST
LITTLE ROCK, AR 72204-1509
Phone number: 501-666-7233
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Mailing Address
-- AUDREY ELAINE MOORE
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number: 501-666-8686
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