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Individual
MRS. KATHRYN CELESTE MOORE
Active
Individual
MRS. KATHRYN CELESTE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
108558
TX
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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