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MS. VANESSA JOSEPHINE MOORE

>> Specialist >> Other Service Providers

Registrant NPI Number: 1497093546

Individual Registrant:
MS. VANESSA JOSEPHINE MOORE 
Gender: F
Sole Proprietor

Location and contact information for practice:
2612 DOGWOOD AVE PT D19 THUNDERBOLT, GA 31404-3239 US
Tel: 912-220-6689  Fax: --

Contact information for business:
2612 DOGWOOD AVE PT D19 THUNDERBOLT, GA 31404-3239 US
Tel: 912-220-6689  Fax: --

Registration Information:
NPI: 1497093546
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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