Individual
ALLIE J MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3086 STATE ROUTE 160, GALLIPOLIS, OH 45631-8409
(740) 446-5500
(740) 446-4951
Mailing address
PO BOX 188, CHILLICOTHE, OH 45601-0188
(740) 773-4366
(740) 773-4750
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.178961.MEDS-IV
OH
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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