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Individual

JUSTIN TYLER MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NRP

Contact information

Practice address
127 E TRADE ST STE B100, FOREST CITY, NC 28043-2201
(828) 220-4174
Mailing address
PO BOX 335, FOREST CITY, NC 28043-0335
(828) 220-4174

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
P016291
NC

Other

Enumeration date
07/06/2024
Last updated
07/06/2024
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