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Individual

MS. TERESA A. MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
1653 FALKE DR, DAYTON, OH 45432-3313
(937) 397-0090
Mailing address
1653 FALKE DR, DAYTON, OH 45432-3313
(937) 397-0090

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN 289827
OH

Other

Enumeration date
10/22/2010
Last updated
10/22/2010
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