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Individual

GREGORY MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
1245 INDEPENDENCE RD, LIZEMORES, WV 25125-8017
(304) 978-4017
Mailing address
1245 INDEPENDENCE RD, LIZEMORES, WV 25125-8017

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
06/25/2025
Last updated
06/25/2025
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