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Individual

LARONDA LESHELL MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
111 W CHURCH ST, QUITMAN, MS 39355-2134
(601) 604-3705
Mailing address
125 COUNTY ROAD 359, MERIDIAN, MS 39301-9676
(601) 604-3705

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
MS

Other

Enumeration date
07/22/2021
Last updated
07/22/2021
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