Individual
MRS. DAWN R MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
316 MARION PIKE, COAL GROVE, OH 45638-2957
(740) 532-6143
Mailing address
412 3RD AVE, WORTHINGTON, KY 41183-9437
(606) 922-3296
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
2380061
OH
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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