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GWENDOLYN LAYETTE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4441 OLD COLONY ROAD, KALAMAZOO, MI 49008
(269) 312-8858
(269) 312-8789
Mailing address
4441 OLD COLONY RD, KALAMAZOO, MI 49008-3200
(269) 312-8858
(269) 312-8789

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
81-068-4911
MI

Other

Enumeration date
05/04/2016
Last updated
05/04/2016
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