Individual
DEBORAH JEAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
444 FILLMORE ST, GARY, IN 46402-1036
(219) 614-3602
Mailing address
444 FILLMORE ST, GARY, IN 46402-1036
(219) 614-3602
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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