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1992171003
GENEVA MOORE
DETROIT, MI
NPI
1992171003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2015-08-12
Last Update Date
2015-08-12
Business Address
-- GENEVA MOORE
18714 TEPPERT ST
DETROIT, MI 48234-3774
Phone number: 313-330-1209
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Mailing Address
-- GENEVA MOORE
PO BOX 34310
DETROIT, MI 48234-0310
Phone number: 313-330-1209
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